Pub Date : 2025-09-03DOI: 10.1016/j.glt.2025.09.002
Madior Ndiaye, Raafat George Saade, Hao Liu
Digitalization has become ubiquitous; however, stakeholders have varying degrees of integration globally. Within the context of this study, a digitalization strategy has the potential for economic growth, enhanced health services, and ensuring national stability, thereby improving social well-being and facilitating a country's emergence as a developing nation. This study seeks to examine Senegal's digital landscape, with a particular focus on its impact on health and well-being, which are pivotal in the nation's progression towards becoming an emerging country. This study identifies key themes and factors contributing to Senegal's digital transformation and its potential to enhance overall quality of life. A systematic literature review (SLR) revealed a paucity of relevant research specific to the Senegalese context. Through thematic analysis, we identified research gaps (themes) that could assist Senegal in achieving its digitalization objectives: incremental transitioning facilitated by broadband improvements; digitalization of the economic, political, and human resources sectors; influence of trust and perceived risk on the adoption of emerging technologies; and integration of emerging technologies across all facets of life. Moreover, we conducted a pilot survey based on the Unified Theory of Acceptance and Use of Technology to obtain additional insights into digital healthcare adoption.
{"title":"Understanding the impact of digitalization transition of Senegal and its implication on human health and wellbeing","authors":"Madior Ndiaye, Raafat George Saade, Hao Liu","doi":"10.1016/j.glt.2025.09.002","DOIUrl":"10.1016/j.glt.2025.09.002","url":null,"abstract":"<div><div>Digitalization has become ubiquitous; however, stakeholders have varying degrees of integration globally. Within the context of this study, a digitalization strategy has the potential for economic growth, enhanced health services, and ensuring national stability, thereby improving social well-being and facilitating a country's emergence as a developing nation. This study seeks to examine Senegal's digital landscape, with a particular focus on its impact on health and well-being, which are pivotal in the nation's progression towards becoming an emerging country. This study identifies key themes and factors contributing to Senegal's digital transformation and its potential to enhance overall quality of life. A systematic literature review (SLR) revealed a paucity of relevant research specific to the Senegalese context. Through thematic analysis, we identified research gaps (themes) that could assist Senegal in achieving its digitalization objectives: incremental transitioning facilitated by broadband improvements; digitalization of the economic, political, and human resources sectors; influence of trust and perceived risk on the adoption of emerging technologies; and integration of emerging technologies across all facets of life. Moreover, we conducted a pilot survey based on the Unified Theory of Acceptance and Use of Technology to obtain additional insights into digital healthcare adoption.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"8 1","pages":"Pages 37-55"},"PeriodicalIF":3.1,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145220721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.glt.2025.09.003
Jie Wang , Minmin Wang , Minghui Ren , Yinzi Jin
Background
The misalignment between cancer burden and drug innovation poses significant challenges for global health. However, the global scope, temporal trends, and underlying factors contributing to this mismatch remain underexplored. We aim to evaluate the extent, trends, and driving forces behind the disparity between early drug development and cancer burden.
Methods
This retrospective cohort study encompasses a total of 9473 early phase cancer drug trials from 1990 to 2023. Concentration curves and concentration indices (CIs) were employed to measure and track the mismatch over time. Residual analysis derived from a regression model identified cancers that may be either overlooked or overly focused upon. Decomposition of CIs was applied to ascertain the contributors to this mismatch and its evolution.
Results
The CI between early drug development and cancer burden exhibited an upward trend over time, rising from 0.105 (95 % CI: 0.015 to 0.225) in the 1990s to 0.208 (95 % CI: 0.092 to 0.326) in the 2020s. Early drug development activities had disproportionately favored high-burden cancers. Demand-side factors, such as disease burden (average contribution: 53.35 %) and market size (average contribution: 25.16 %), were the primary drivers of both the mismatch and its growth.
Conclusions
The primary drivers of early drug development are medical and market demands, which lead to disproportionate focus on more prevalent or commercially attractive cancers. To address these disparities, targeted initiatives and policy reforms are necessary to ensure that drug development aligns more closely with global health needs, especially for cancers that receive insufficient attention.
{"title":"Mapping the divide: Early development of global cancer drugs and its mismatch with cancer burden","authors":"Jie Wang , Minmin Wang , Minghui Ren , Yinzi Jin","doi":"10.1016/j.glt.2025.09.003","DOIUrl":"10.1016/j.glt.2025.09.003","url":null,"abstract":"<div><h3>Background</h3><div>The misalignment between cancer burden and drug innovation poses significant challenges for global health. However, the global scope, temporal trends, and underlying factors contributing to this mismatch remain underexplored. We aim to evaluate the extent, trends, and driving forces behind the disparity between early drug development and cancer burden.</div></div><div><h3>Methods</h3><div>This retrospective cohort study encompasses a total of 9473 early phase cancer drug trials from 1990 to 2023. Concentration curves and concentration indices (CIs) were employed to measure and track the mismatch over time. Residual analysis derived from a regression model identified cancers that may be either overlooked or overly focused upon. Decomposition of CIs was applied to ascertain the contributors to this mismatch and its evolution.</div></div><div><h3>Results</h3><div>The CI between early drug development and cancer burden exhibited an upward trend over time, rising from 0.105 (95 % CI: 0.015 to 0.225) in the 1990s to 0.208 (95 % CI: 0.092 to 0.326) in the 2020s. Early drug development activities had disproportionately favored high-burden cancers. Demand-side factors, such as disease burden (average contribution: 53.35 %) and market size (average contribution: 25.16 %), were the primary drivers of both the mismatch and its growth.</div></div><div><h3>Conclusions</h3><div>The primary drivers of early drug development are medical and market demands, which lead to disproportionate focus on more prevalent or commercially attractive cancers. To address these disparities, targeted initiatives and policy reforms are necessary to ensure that drug development aligns more closely with global health needs, especially for cancers that receive insufficient attention.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"8 1","pages":"Pages 56-63"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145220720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-18DOI: 10.1016/j.glt.2025.08.002
Abdul-Latif Alhassan , Mery Angeles Perez , Lakshman W. Galagedara
This study examines the intersection of climate change, agricultural innovation, and food security in Newfoundland and Labrador (NL), a province characterized by a short growing season, poor and acidic soils, and a small agriculture sector highly vulnerable to climate change. Despite being one of Canada's most food-insecure provinces, there is a significant lack of comprehensive studies on the Water-Energy-Food-Climate Change (WEF-CC) nexus and agricultural innovation in NL. The study aimed to (1) inventory innovative agricultural practices that promote food security and climate resilience, (2) identify key stakeholders in agricultural innovation, (3) explore factors influencing innovation in the province, and (4) assess the use of by-products in agriculture. Data were collected through semi-structured interviews and analyzed using NVivo content analysis. The findings revealed two primary types of relevant agricultural innovation in NL: practice-based and technology-based. Six key stakeholders in agricultural innovation were identified. However, the lack of an independent third-party innovation enabler or connector was perceived as a barrier to progress. To address this gap, the study proposes the establishment of the Newfoundland and Labrador Agricultural Innovation Centre (NLAIC), a collaborative body designed to support agricultural innovation. Additionally, opportunities for utilizing agricultural and industrial by-products, including plant-based and animal-based innovations, were identified as emerging in the province. Tackling innovation barriers and promoting nexus thinking and collaboration among stakeholders and sectors could enhance climate resilience and food security in NL.
{"title":"Integrating climate change, food security, and innovative agriculture in Newfoundland and Labrador (NL): A Water-Energy-Food (WEF) nexus approach","authors":"Abdul-Latif Alhassan , Mery Angeles Perez , Lakshman W. Galagedara","doi":"10.1016/j.glt.2025.08.002","DOIUrl":"10.1016/j.glt.2025.08.002","url":null,"abstract":"<div><div>This study examines the intersection of climate change, agricultural innovation, and food security in Newfoundland and Labrador (NL), a province characterized by a short growing season, poor and acidic soils, and a small agriculture sector highly vulnerable to climate change. Despite being one of Canada's most food-insecure provinces, there is a significant lack of comprehensive studies on the Water-Energy-Food-Climate Change (WEF-CC) nexus and agricultural innovation in NL. The study aimed to (1) inventory innovative agricultural practices that promote food security and climate resilience, (2) identify key stakeholders in agricultural innovation, (3) explore factors influencing innovation in the province, and (4) assess the use of by-products in agriculture. Data were collected through semi-structured interviews and analyzed using NVivo content analysis. The findings revealed two primary types of relevant agricultural innovation in NL: practice-based and technology-based. Six key stakeholders in agricultural innovation were identified. However, the lack of an independent third-party innovation enabler or connector was perceived as a barrier to progress. To address this gap, the study proposes the establishment of the Newfoundland and Labrador Agricultural Innovation Centre (NLAIC), a collaborative body designed to support agricultural innovation. Additionally, opportunities for utilizing agricultural and industrial by-products, including plant-based and animal-based innovations, were identified as emerging in the province. Tackling innovation barriers and promoting nexus thinking and collaboration among stakeholders and sectors could enhance climate resilience and food security in NL.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"8 1","pages":"Pages 22-36"},"PeriodicalIF":3.1,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145027278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-18DOI: 10.1016/j.glt.2025.08.003
Mara Ipa , Asep Hermawan , Rais Yunarko , Tri Ramadhani , Muhammad Choirul Hidajat , Harimat Hendarwan , Triwibowo Ambar Garjito , Aneta Afelt , Supriyati Supriyati , Tri Wibawa
Background
Dengue Virus (DENV) infection remains a significant public health issue in Indonesia, with incidence rates differing between urban and rural areas. This study aimed to identify individual and household factors driving self-reported dengue infections in these settings.
Methods
A secondary analysis of the 2023 Indonesian Health Survey (SKI) included 877,531 respondents from urban (n = 469,549) and rural (n = 407,982) areas. The study focused on individuals of all ages who had been diagnosed with dengue fever by a physician within the past year. Disparities in self-reported dengue infection were assessed using standardized questionnaires that covered individual factors (age, sex, education, occupation, and preventive measures) and household factors (health facility awareness, travel time, transport affordability, wealth, water source, and preventive behavior). Data collected from August to October 2023 were analyzed using weighted logistic regression models in STATA 17.0 MP to account for the complex sampling design.
Results
Self-reported dengue incidence was higher in urban areas (0.73 %) than rural areas (0.52 %). In urban settings, higher odds of dengue infection were associated with having school-aged children, living in crowded households, belonging to the wealthiest quintile, using bottled water, and neglecting regular cleaning of water storage containers. In rural areas, adults using refill water had increased odds of infection, while those working in the informal sector and practicing mosquito bite prevention showed reduced odds.
Conclusions
Our study highlights social determinants of dengue infection in Indonesia, emphasizing the need for targeted public health interventions that address educational disparities, economical access to healthcare, and effective preventive practices.
{"title":"Urban-rural disparities in self-reported dengue infection: A comprehensive analysis of the 2023 Indonesian health survey","authors":"Mara Ipa , Asep Hermawan , Rais Yunarko , Tri Ramadhani , Muhammad Choirul Hidajat , Harimat Hendarwan , Triwibowo Ambar Garjito , Aneta Afelt , Supriyati Supriyati , Tri Wibawa","doi":"10.1016/j.glt.2025.08.003","DOIUrl":"10.1016/j.glt.2025.08.003","url":null,"abstract":"<div><h3>Background</h3><div>Dengue Virus (DENV) infection remains a significant public health issue in Indonesia, with incidence rates differing between urban and rural areas. This study aimed to identify individual and household factors driving self-reported dengue infections in these settings.</div></div><div><h3>Methods</h3><div>A secondary analysis of the 2023 Indonesian Health Survey (SKI) included 877,531 respondents from urban (n = 469,549) and rural (n = 407,982) areas. The study focused on individuals of all ages who had been diagnosed with dengue fever by a physician within the past year. Disparities in self-reported dengue infection were assessed using standardized questionnaires that covered individual factors (age, sex, education, occupation, and preventive measures) and household factors (health facility awareness, travel time, transport affordability, wealth, water source, and preventive behavior). Data collected from August to October 2023 were analyzed using weighted logistic regression models in STATA 17.0 MP to account for the complex sampling design.</div></div><div><h3>Results</h3><div>Self-reported dengue incidence was higher in urban areas (0.73 %) than rural areas (0.52 %). In urban settings, higher odds of dengue infection were associated with having school-aged children, living in crowded households, belonging to the wealthiest quintile, using bottled water, and neglecting regular cleaning of water storage containers. In rural areas, adults using refill water had increased odds of infection, while those working in the informal sector and practicing mosquito bite prevention showed reduced odds.</div></div><div><h3>Conclusions</h3><div>Our study highlights social determinants of dengue infection in Indonesia, emphasizing the need for targeted public health interventions that address educational disparities, economical access to healthcare, and effective preventive practices.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"8 1","pages":"Pages 10-21"},"PeriodicalIF":3.1,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-07DOI: 10.1016/j.glt.2025.08.001
Guangwen Liu , Chenlu Hong , Yujie Huang , Boyuan Guan , Yating Liu , Zhaorui Liu , Yanan Luo
<div><h3>Background</h3><div>This study aimed to explore the association between epigenetic age acceleration and the transition between different cognitive status during dementia process. We also verified the racial disparities in the above relationships.</div></div><div><h3>Methods</h3><div>Data was from the US Health and Retirement Study, involving 3593 participants (50+) with a 4-year follow-up. Normal cognition (NC), mild cognitive impairment (MCI) and dementia was evaluated by the modified Telephone Interview for Cognitive Status. Epigenetic age was determined by epigenetic clocks based on DNA methylation patterns and dichotomized into acceleration and deceleration according to residual from the regression of epigenetic age on chronological age. Cox regression models were conducted to examine the association between epigenetic age acceleration and risk of transition between NC, MCI and dementia. Subgroup analysis was conducted to verify racial disparities.</div></div><div><h3>Results</h3><div>Among those with NC at baseline (n = 2671), 1053 (39.42 %) were male, 1618 (60.58 %) were female, 2057 (77.01 %) were Whites, and 614 (22.99 %) were Non-Whites. A total of 278 participants developed the transition from NC to MCI and 42 participants developed the transition from NC to dementia during the median follow-up of 3.92 years (interquartile range: 1.17–4.83 years). Accelerated epigenetic aging measured by GrimAge clock was associated with higher risk of MCI incidence (HR = 1.56, 95 % CI: 1.15–2.11) whereas epigenetic age acceleration measured by all the seven epigenetic clocks and the risk of transition from NC to dementia was not associated. Among those with MCI at baseline (n = 922), 408 (44.25 %) were male, 514 (55.75 %) were female, 633 (68.66 %) were Whites, and 289 (31.34 %) were Non-Whites. A total of 132 participants experienced transition from MCI to dementia during the median follow-up of 3.58 years (interquartile range: 1.17–4.67 years). Participants with age acceleration measured by Horvath's skin&blood clock had a higher risk of transition from MCI to dementia (HR = 1.62, 95 % CI: 1.09–2.40). Heterogeneity of race was found in the relationship of epigenetic aging with transition between cognitive status and the observed associations only existed among non-Whites. Specifically, associations between GrimAge AccelAge and higher risk of transition from NC to MCI (HR = 2.04, 95 % CI: 1.10–3.79, <em>P</em> for interaction = 0.039) as well as transition from NC to dementia (HR = 3.71, 95 % CI: 1.03–13.34, <em>P</em> for interaction = 0.040) were only found among Non-White participants. In addition, significant association between epigenetic age acceleration measured by Hannum (HR = 2.16, 95 % CI: 1.10–4.24, <em>P</em> for interaction = 0.048), Horvath's skin&blood (HR = 4.33, 95 % CI: 2.04–9.20, <em>P</em> for interaction = 0.046), and Zhang's clock (HR = 1.94, 95 % CI: 1.07–3.51, <em>P</em> for interaction = 0.046), and the higher
{"title":"Racial disparities in the association of epigenetic age acceleration with the transition between normal cognition, mild cognitive impairment and dementia","authors":"Guangwen Liu , Chenlu Hong , Yujie Huang , Boyuan Guan , Yating Liu , Zhaorui Liu , Yanan Luo","doi":"10.1016/j.glt.2025.08.001","DOIUrl":"10.1016/j.glt.2025.08.001","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to explore the association between epigenetic age acceleration and the transition between different cognitive status during dementia process. We also verified the racial disparities in the above relationships.</div></div><div><h3>Methods</h3><div>Data was from the US Health and Retirement Study, involving 3593 participants (50+) with a 4-year follow-up. Normal cognition (NC), mild cognitive impairment (MCI) and dementia was evaluated by the modified Telephone Interview for Cognitive Status. Epigenetic age was determined by epigenetic clocks based on DNA methylation patterns and dichotomized into acceleration and deceleration according to residual from the regression of epigenetic age on chronological age. Cox regression models were conducted to examine the association between epigenetic age acceleration and risk of transition between NC, MCI and dementia. Subgroup analysis was conducted to verify racial disparities.</div></div><div><h3>Results</h3><div>Among those with NC at baseline (n = 2671), 1053 (39.42 %) were male, 1618 (60.58 %) were female, 2057 (77.01 %) were Whites, and 614 (22.99 %) were Non-Whites. A total of 278 participants developed the transition from NC to MCI and 42 participants developed the transition from NC to dementia during the median follow-up of 3.92 years (interquartile range: 1.17–4.83 years). Accelerated epigenetic aging measured by GrimAge clock was associated with higher risk of MCI incidence (HR = 1.56, 95 % CI: 1.15–2.11) whereas epigenetic age acceleration measured by all the seven epigenetic clocks and the risk of transition from NC to dementia was not associated. Among those with MCI at baseline (n = 922), 408 (44.25 %) were male, 514 (55.75 %) were female, 633 (68.66 %) were Whites, and 289 (31.34 %) were Non-Whites. A total of 132 participants experienced transition from MCI to dementia during the median follow-up of 3.58 years (interquartile range: 1.17–4.67 years). Participants with age acceleration measured by Horvath's skin&blood clock had a higher risk of transition from MCI to dementia (HR = 1.62, 95 % CI: 1.09–2.40). Heterogeneity of race was found in the relationship of epigenetic aging with transition between cognitive status and the observed associations only existed among non-Whites. Specifically, associations between GrimAge AccelAge and higher risk of transition from NC to MCI (HR = 2.04, 95 % CI: 1.10–3.79, <em>P</em> for interaction = 0.039) as well as transition from NC to dementia (HR = 3.71, 95 % CI: 1.03–13.34, <em>P</em> for interaction = 0.040) were only found among Non-White participants. In addition, significant association between epigenetic age acceleration measured by Hannum (HR = 2.16, 95 % CI: 1.10–4.24, <em>P</em> for interaction = 0.048), Horvath's skin&blood (HR = 4.33, 95 % CI: 2.04–9.20, <em>P</em> for interaction = 0.046), and Zhang's clock (HR = 1.94, 95 % CI: 1.07–3.51, <em>P</em> for interaction = 0.046), and the higher","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"8 1","pages":"Pages 1-9"},"PeriodicalIF":3.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Environmental science, policy, and industry nexus: Integrating Frameworks for better transport sustainability","authors":"Nahed Bahman , Naser Naser , Ezzat Khan , Tariq Mahmood","doi":"10.1016/j.glt.2024.12.001","DOIUrl":"10.1016/j.glt.2024.12.001","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 29-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130066","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}
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}
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.
{"title":"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","authors":"Zichen Ye , Manman Chen , Xijie Wang , Zhilan Xie , Daqian Zhang , Dandan Wu , Yuankai Zhao , Yimin Qu , Yu Jiang","doi":"10.1016/j.glt.2025.02.007","DOIUrl":"10.1016/j.glt.2025.02.007","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 %; <em>P</em> < 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 (<em>P</em> < 0.001). These associations were greater in countries with lower UHC index, particularly tobacco-related risk of suicide ideation among girls.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 128-135"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563592","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}
Pub Date : 2025-01-01DOI: 10.1016/j.glt.2025.06.008
Raudlatul Jannah , Lala M. Kolopaking , Soeryo Adiwibowo , Syamsul Maarif
Amid growing global attention to climate change, this study explores the sociopolitical dynamics of institutionalizing climate knowledge in rural Indonesia by examining the implementation of the Climate Village Program (Proklim) in four villages in Probolinggo Regency. Drawing on Maarten Hajer's Argumentative Discourse Analysis and C. Wright Mills' concept of sociological imagination, the study addresses two central questions: (1) how is climate change framed and communicated to rural communities, and (2) how do communities interpret and respond to this knowledge? Data were collected through observations of Proklim activities and interviews with the village residents. The findings show that climate change discourse is largely shaped by top-down narratives aligned with global frameworks, such as the Nationally Determined Contributions (NDCs), yet these often fail to resonate with the everyday realities of rural populations. While a small portion of the community participates in adaptation practices, most prioritize urgent needs such as fertilizer subsidies and food security. This reflects a fundamental disconnection between global climate narratives and local priorities. Despite these challenges, Proklim functions as a discursive space that brings together government actors, private sector, and local communities, although significant power asymmetries remain. The study underscores the importance of realigning global climate commitments with local experiences, institutionalizing climate discourse within community social structures, and framing climate change not only as an environmental issue but also as a matter of public health and social resilience.
{"title":"Global climate commitments and local disconnect: Imagining climate change through Indonesia's community climate program","authors":"Raudlatul Jannah , Lala M. Kolopaking , Soeryo Adiwibowo , Syamsul Maarif","doi":"10.1016/j.glt.2025.06.008","DOIUrl":"10.1016/j.glt.2025.06.008","url":null,"abstract":"<div><div>Amid growing global attention to climate change, this study explores the sociopolitical dynamics of institutionalizing climate knowledge in rural Indonesia by examining the implementation of the Climate Village Program (<em>Proklim</em>) in four villages in Probolinggo Regency. Drawing on Maarten Hajer's <em>Argumentative Discourse Analysis</em> and C. Wright Mills' concept of <em>sociological imagination</em>, the study addresses two central questions: (1) how is climate change framed and communicated to rural communities, and (2) how do communities interpret and respond to this knowledge? Data were collected through observations of <em>Proklim</em> activities and interviews with the village residents. The findings show that climate change discourse is largely shaped by top-down narratives aligned with global frameworks, such as the Nationally Determined Contributions (NDCs), yet these often fail to resonate with the everyday realities of rural populations. While a small portion of the community participates in adaptation practices, most prioritize urgent needs such as fertilizer subsidies and food security. This reflects a fundamental disconnection between global climate narratives and local priorities. Despite these challenges, <em>Proklim</em> functions as a discursive space that brings together government actors, private sector, and local communities, although significant power asymmetries remain. The study underscores the importance of realigning global climate commitments with local experiences, institutionalizing climate discourse within community social structures, and framing climate change not only as an environmental issue but also as a matter of public health and social resilience.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 387-402"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.glt.2025.07.001
Ines Testoni , Martina Gentile , Ciro De Vincenzo
Death education, a burgeoning field within psychosocial and educational sciences, addresses how individuals perceive and cope with themes of finitude, terminality, fragility and mortality. It employs a variety of methods including psychodrama, artistic activities, experiential sessions, and theoretical instruction to reduce death anxiety, enhance emotional resilience, and foster a deeper understanding of end-of-life issues. This research adopts a qualitative methodological research design to understand the experience of psychologists in training participating in a death education intervention. For these purposes, we realized n = 3 focus groups involving n = 21 participants from a group of students participating in an end-of-life course in a master's programme in psychology at the University of Padova. Transcriptions of the audio-recorded focus groups were analysed through reflexive thematic analysis, highlighting the dynamic interplay of personal and professional growth processes. Three major themes emerged: “Awareness and Realization of humane finitude”, reflecting students' heightened consciousness of mortality and its implications for life and practice; “Social Validation of Personal Experiences”, underscoring the role of collective discussion in normalizing and enriching individual perspectives; and “Imagining Professional Futures in Palliative Psychology”, which illustrates the participants' emerging sense of identity as future professionals. These findings emphasize the value of integrating death education into psychology curricula, not only to equip students with the competencies required to address end-of-life issues but also to provide safe, reflective spaces for engaging with liminal topics. Such initiatives contribute to shaping more empathetic, self-aware, and resilient psychologists capable of addressing the multifaceted psychosocial and spiritual dimensions of human experience.
死亡教育是社会心理和教育科学中的一个新兴领域,研究个人如何感知和应对有限性、终末性、脆弱性和死亡率等主题。它采用多种方法,包括心理剧、艺术活动、体验课程和理论指导,以减少死亡焦虑,增强情绪弹性,并培养对临终问题的更深层次理解。本研究采用质性方法研究设计,以了解参与死亡教育干预训练的心理学家的经验。为此,我们从帕多瓦大学(University of Padova)心理学硕士项目的一组学生中选取了n = 3个焦点小组,涉及n = 21名参与者。通过反身性专题分析,对焦点小组的录音进行了分析,突出了个人和专业成长过程的动态相互作用。出现了三个主要主题:“人类有限性的意识和实现”,反映了学生对死亡的高度意识及其对生活和实践的影响;“个人经历的社会验证”,强调集体讨论在规范和丰富个人观点方面的作用;“想象姑息心理学中的职业未来”,展示了参与者作为未来专业人士的认同感。这些发现强调了将死亡教育纳入心理学课程的价值,不仅使学生具备解决生命终结问题所需的能力,而且为参与阈值主题提供安全,反思的空间。这些举措有助于塑造更具同情心、自我意识和弹性的心理学家,能够解决人类经验的多方面心理社会和精神层面。
{"title":"Death education among psychology university students: A psychosocial qualitative perspective","authors":"Ines Testoni , Martina Gentile , Ciro De Vincenzo","doi":"10.1016/j.glt.2025.07.001","DOIUrl":"10.1016/j.glt.2025.07.001","url":null,"abstract":"<div><div>Death education, a burgeoning field within psychosocial and educational sciences, addresses how individuals perceive and cope with themes of finitude, terminality, fragility and mortality. It employs a variety of methods including psychodrama, artistic activities, experiential sessions, and theoretical instruction to reduce death anxiety, enhance emotional resilience, and foster a deeper understanding of end-of-life issues. This research adopts a qualitative methodological research design to understand the experience of psychologists in training participating in a death education intervention. For these purposes, we realized n = 3 focus groups involving n = 21 participants from a group of students participating in an end-of-life course in a master's programme in psychology at the University of Padova. Transcriptions of the audio-recorded focus groups were analysed through reflexive thematic analysis, highlighting the dynamic interplay of personal and professional growth processes. Three major themes emerged: “Awareness and Realization of humane finitude”, reflecting students' heightened consciousness of mortality and its implications for life and practice; “Social Validation of Personal Experiences”, underscoring the role of collective discussion in normalizing and enriching individual perspectives; and “Imagining Professional Futures in Palliative Psychology”, which illustrates the participants' emerging sense of identity as future professionals. These findings emphasize the value of integrating death education into psychology curricula, not only to equip students with the competencies required to address end-of-life issues but also to provide safe, reflective spaces for engaging with liminal topics. Such initiatives contribute to shaping more empathetic, self-aware, and resilient psychologists capable of addressing the multifaceted psychosocial and spiritual dimensions of human experience.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 403-410"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}