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Understanding the impact of digitalization transition of Senegal and its implication on human health and wellbeing 了解塞内加尔数字化转型的影响及其对人类健康和福祉的影响
IF 3.1 Q1 Social Sciences Pub Date : 2025-09-03 DOI: 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.
数字化已经无处不在;然而,利益相关者在全球范围内具有不同程度的整合。在本研究的背景下,数字化战略具有促进经济增长、加强卫生服务和确保国家稳定的潜力,从而改善社会福祉,促进一个国家作为发展中国家的崛起。本研究旨在研究塞内加尔的数字环境,特别关注其对健康和福祉的影响,这是该国向新兴国家发展的关键。本研究确定了促进塞内加尔数字化转型及其提高整体生活质量潜力的关键主题和因素。一项系统的文献综述(SLR)显示,缺乏针对塞内加尔上下文的相关研究。通过专题分析,我们确定了可以帮助塞内加尔实现其数字化目标的研究差距(主题):宽带改善促进的渐进式过渡;经济、政治和人力资源部门的数字化;信任和感知风险对采用新兴技术的影响;以及将新兴技术整合到生活的各个方面。此外,我们根据技术接受和使用统一理论进行了一项试点调查,以获得有关数字医疗采用的更多见解。
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引用次数: 0
Mapping the divide: Early development of global cancer drugs and its mismatch with cancer burden 绘制鸿沟:全球癌症药物的早期发展及其与癌症负担的不匹配
IF 3.1 Q1 Social Sciences Pub Date : 2025-09-01 DOI: 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.
癌症负担与药物创新之间的错位对全球健康构成了重大挑战。然而,全球范围、时间趋势和导致这种不匹配的潜在因素仍未得到充分探讨。我们的目标是评估早期药物开发和癌症负担之间差异的程度、趋势和驱动力。方法本回顾性队列研究包括从1990年到2023年共9473项早期癌症药物试验。浓度曲线和浓度指数(CIs)用于测量和跟踪随时间的不匹配。残差分析源自回归模型,确定了可能被忽视或被过度关注的癌症。采用CIs的分解来确定这种不匹配及其演变的贡献者。结果早期药物开发与癌症负担之间的CI随时间呈上升趋势,从20世纪90年代的0.105 (95% CI: 0.015 ~ 0.225)上升至20世纪20年代的0.208 (95% CI: 0.092 ~ 0.326)。早期的药物开发活动不成比例地倾向于高负担癌症。需求侧因素,如疾病负担(平均贡献:53.35%)和市场规模(平均贡献:25.16%),是错配及其增长的主要驱动因素。结论早期药物开发的主要驱动力是医疗和市场需求,这导致过度关注更普遍或更具商业吸引力的癌症。为了解决这些差异,有必要采取有针对性的举措和政策改革,以确保药物开发更密切地符合全球卫生需求,特别是针对未得到充分重视的癌症。
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引用次数: 0
Integrating climate change, food security, and innovative agriculture in Newfoundland and Labrador (NL): A Water-Energy-Food (WEF) nexus approach 整合气候变化、粮食安全和创新农业在纽芬兰和拉布拉多(NL):一个水-能源-粮食(WEF)联系方法
IF 3.1 Q1 Social Sciences Pub Date : 2025-08-18 DOI: 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.
本研究考察了气候变化、农业创新和粮食安全在纽芬兰和拉布拉多省(NL)的交叉关系。纽芬兰和拉布拉多省的特点是生长季节短、土壤贫瘠和酸性,农业部门规模小,极易受到气候变化的影响。尽管北拉尔省是加拿大粮食最不安全的省份之一,但对北拉尔省的水-能源-粮食-气候变化(WEF-CC)关系和农业创新的综合研究明显缺乏。本研究旨在(1)盘点促进粮食安全和气候适应能力的创新农业实践,(2)确定农业创新的关键利益相关者,(3)探索该省创新的影响因素,(4)评估农业副产品的利用。数据通过半结构化访谈收集,并使用NVivo内容分析进行分析。研究结果揭示了NL相关农业创新的两种主要类型:基于实践和基于技术。确定了农业创新的六个关键利益相关者。然而,缺乏独立的第三方创新推动者或连接器被认为是进步的障碍。为了解决这一差距,该研究建议建立纽芬兰和拉布拉多农业创新中心(naic),这是一个旨在支持农业创新的合作机构。此外,利用农业和工业副产品的机会,包括基于植物和动物的创新,被确定为在该省出现。解决创新障碍,促进利益相关者和部门之间的联系思维和合作,可以增强NL的气候适应能力和粮食安全。
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引用次数: 0
Urban-rural disparities in self-reported dengue infection: A comprehensive analysis of the 2023 Indonesian health survey 自我报告登革热感染的城乡差异:对2023年印度尼西亚健康调查的综合分析
IF 3.1 Q1 Social Sciences Pub Date : 2025-08-18 DOI: 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.
登革热病毒(DENV)感染仍然是印度尼西亚的一个重大公共卫生问题,其发病率在城市和农村地区有所不同。本研究旨在确定这些环境中驱动自我报告登革热感染的个人和家庭因素。方法对2023年印度尼西亚健康调查(SKI)进行二次分析,包括来自城市(n = 469,549)和农村(n = 407,982)地区的877,531名受访者。这项研究的重点是在过去一年内被医生诊断为登革热的所有年龄段的人。使用标准化问卷评估了自我报告登革热感染的差异,该问卷涵盖个人因素(年龄、性别、教育、职业和预防措施)和家庭因素(卫生设施意识、旅行时间、交通负担能力、财富、水源和预防行为)。2023年8月至10月收集的数据采用STATA 17.0 MP加权逻辑回归模型进行分析,以解释复杂的抽样设计。结果城市自报登革热发病率(0.73%)高于农村(0.52%)。在城市环境中,较高的登革热感染几率与有学龄儿童、生活在拥挤的家庭、属于最富有的五分之一、使用瓶装水以及忽视定期清洁储水容器有关。在农村地区,使用补充水的成年人感染的几率增加,而那些在非正规部门工作并从事蚊虫叮咬预防工作的人感染的几率降低。结论我们的研究强调了印度尼西亚登革热感染的社会决定因素,强调需要有针对性的公共卫生干预措施,解决教育差距、经济上获得医疗保健和有效的预防措施。
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引用次数: 0
Racial disparities in the association of epigenetic age acceleration with the transition between normal cognition, mild cognitive impairment and dementia 种族差异在表观遗传年龄加速与正常认知、轻度认知障碍和痴呆之间的过渡之间的关系
IF 3.1 Q1 Social Sciences Pub Date : 2025-08-07 DOI: 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
本研究旨在探讨表观遗传年龄加速与痴呆过程中不同认知状态转换之间的关系。我们还验证了上述关系中的种族差异。方法数据来自美国健康与退休研究,涉及3593名参与者(50岁以上),随访4年。采用改进的认知状态电话访谈法对正常认知(NC)、轻度认知障碍(MCI)和痴呆进行评估。表观遗传年龄由基于DNA甲基化模式的表观遗传时钟确定,并根据表观遗传年龄对实足年龄回归的残差将其分为加速和减速。采用Cox回归模型检验表观遗传年龄加速与NC、MCI和痴呆之间转换风险之间的关系。进行亚组分析以验证种族差异。结果基线NC患者(n = 2671),男性1053例(39.42%),女性1618例(60.58%),白人2057例(77.01%),非白人614例(22.99%)。在中位3.92年的随访期间(四分位数范围:1.17-4.83年),共有278名参与者从NC过渡到MCI, 42名参与者从NC过渡到痴呆。GrimAge时钟测量的加速表观遗传衰老与MCI发病率升高相关(HR = 1.56, 95% CI: 1.15-2.11),而所有7种表观遗传时钟测量的表观遗传年龄加速与NC向痴呆过渡的风险无关。基线MCI患者(n = 922)中,男性408例(44.25%),女性514例(55.75%),白人633例(68.66%),非白人289例(31.34%)。在中位3.58年的随访期间(四分位数范围:1.17-4.67年),共有132名参与者经历了从轻度认知障碍到痴呆症的过渡。Horvath的皮肤和血液时钟测量的年龄加速的参与者从轻度认知障碍过渡到痴呆的风险更高(HR = 1.62, 95% CI: 1.09-2.40)。表观遗传衰老与认知状态转换的关系存在种族异质性,这种关联仅存在于非白人群体中。具体而言,GrimAge AccelAge与NC向MCI过渡的高风险(HR = 2.04, 95% CI: 1.10-3.79, P为相互作用= 0.039)以及NC向痴呆过渡(HR = 3.71, 95% CI: 1.03-13.34, P为相互作用= 0.040)之间的关联仅在非白人参与者中发现。此外,Hannum测量的表观遗传年龄加速(HR = 2.16, 95% CI: 1.10-4.24, P为相互作用= 0.048)、Horvath的皮肤和血液(HR = 4.33, 95% CI: 2.04-9.20, P为相互作用= 0.046)和Zhang的时钟(HR = 1.94, 95% CI: 1.07-3.51, P为相互作用= 0.046)与MCI向痴呆过渡的较高风险之间存在显著关联,仅在非白人受访者中观察到。结论暴露于加速的表观遗传衰老与NC向MCI过渡以及MCI向痴呆进展的高风险显著相关。建议尽早发现时间衰老和表观遗传衰老之间的差异,并更加重视非白人老年人。
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引用次数: 0
Environmental science, policy, and industry nexus: Integrating Frameworks for better transport sustainability 环境科学、政策和产业关系:整合框架以提高交通的可持续性
Q1 Social Sciences 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.
交通运输部门是气候变化的主要贡献者之一,因为温室气体(GHG)排放量从1990年到2019年增长了约80%。多年来,该部门的能源使用量一直在增加,目前占全球能源使用量的五分之一。这项研究基于在日益增加的环境影响方面提高运输部门可持续性的必要性以及所制定框架的局限性,力求将更好和更有效的评估与缓解措施结合起来。尽管在环境可持续性方面取得了进展,但科学家和政策制定者都认识到,衡量和减少交通排放的现有方法存在重大差距。本研究提出了一个综合环境评估(IEA)与生命周期评估(LCA)数据相结合的综合框架,从而提高了该部门的政策有效性。该研究依靠lca提供的可靠数据来指导政策工具和政策组合的制定。方法包括在政策范围内对调查和LCA数据进行统计分析,重点是运输系统的可持续性评估。关键结果中的重要发现表明,将LCA纳入政策框架有助于有效地减少对环境的影响,并提高运输系统的可持续性。这些重要的影响被视为对决策者和工业界有价值的建议,建议将LCA纳入环境政策,作为除推动减缓气候变化努力外尽量减少对环境的进一步负担的一种方式。
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引用次数: 0
Selecting E-bikes using a multi-criteria integrated analytic hierarchy approach for sustainable transportation option 基于多准则综合层次分析法的电动自行车可持续交通选择
Q1 Social Sciences 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.
电动自行车在减少温室气体排放、缓解全球变暖问题、促进可持续发展方面发挥着至关重要的作用。此外,它有助于减少原油进口,节省外汇,加强国际收支平衡。本研究旨在建立一种基于综合层次分析法(AHP)和多属性边界近似面积比较(MABAC)的多标准方法,该方法考虑了电动自行车(E-bike)性能和特征的各个方面。研究结果表明,AHP方法在对电动自行车进行知情决策时效果最好。选出的八项标准是最理想的。调查结果显示,购买者优先考虑电动自行车的行驶里程(24%)和电池容量(21%)。本研究的结果支持开发综合选择标准的想法,考虑到电动自行车的性能和特点的各种特征。本研究可为性能较差的电动滑板车制造商评估其基准提供参考。政府还应该促进增加更多的充电站和电池交换设施,并与加油站、CNG站和其他选择联系起来。根据我们研究的八个参数,Simple One排名第一,Ola Pro和TVS iQube紧随其后。研究结果将有助于制造商和政策制定者制定和实施促进电动汽车市场渗透的战略。
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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 在187,329名青少年中调查烟草及其代用品使用与社会心理症状之间的关系:在47个全民健康覆盖指数不同的国家进行比较分析
Q1 Social Sciences 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.
目的本研究旨在分析青少年烟草及其代用品使用与心理社会症状之间的关系,并调查这些关系是否根据全民健康覆盖指数而变化。方法利用2013年至最近可获得年份的全球学校学生健康调查数据进行汇总横断面分析,涵盖47个国家,涉及187,329名12-17岁的青少年。采用对数二项回归模型分析当前烟草和代用品使用与心理社会症状(包括自杀意念、孤独和担忧)之间的关系。采用对数二项回归模型进一步进行分层分析,分析不同国家UHC指数下的相关性是否存在差异。结果自杀意念、孤独和焦虑等心理社会症状的患病率分别为14.1%、12.8%和10.3%。烟草及其代用品使用的流行率在男孩中明显更高(20.9%比10.7%;P & lt;0.001)。烟草及其替代品的使用与更高的自杀意念风险相关(男孩:OR = 1.89, 95%CI 1.82-1.97;女孩:OR = 2.33, 95%CI 2.26-2.40),孤独(男孩:OR = 1.58, 95%CI 1.51-1.64;女孩:OR = 1.68, 95%CI 1.63,1.73)和担忧(男孩:OR = 1.78, 95%CI 1.70,1.87;女孩:OR = 1.82, 95%CI 1.76,1.89)。在所有按性别分层的亚组分析中,差异也很显著(P <;0.001)。这些关联在全民健康覆盖指数较低的国家更大,特别是在女孩中与烟草有关的自杀意念风险。结论烟草及其代用品的使用与青少年,特别是女孩和全民健康覆盖指数较低国家的青少年出现各种心理社会症状的风险增加有关,包括自杀意念、孤独感和担忧感。
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引用次数: 0
Global climate commitments and local disconnect: Imagining climate change through Indonesia's community climate program 全球气候承诺与地方脱节:通过印度尼西亚的社区气候项目想象气候变化
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 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.
在全球对气候变化日益关注的背景下,本研究通过考察气候村计划(Proklim)在Probolinggo县四个村庄的实施情况,探讨了印尼农村气候知识制度化的社会政治动态。利用Maarten Hajer的论辩话语分析和C. Wright Mills的社会学想象概念,该研究解决了两个核心问题:(1)气候变化是如何被构建并传达给农村社区的;(2)社区如何解释和回应这些知识?通过对Proklim活动的观察和对村庄居民的访谈收集数据。研究结果表明,气候变化话语在很大程度上是由与全球框架(如国家自主贡献)相一致的自上而下的叙事所塑造的,然而这些叙事往往无法与农村人口的日常现实产生共鸣。虽然社区中的一小部分人参与了适应实践,但大多数人优先考虑肥料补贴和粮食安全等迫切需求。这反映了全球气候叙事与地方优先事项之间的根本脱节。尽管存在这些挑战,Proklim作为一个话语空间,将政府行为者、私营部门和当地社区聚集在一起,尽管明显的权力不对称仍然存在。该研究强调了将全球气候承诺与地方经验重新调整的重要性,将社区社会结构中的气候话语制度化,并将气候变化不仅视为环境问题,而且视为公共卫生和社会复原力问题。
{"title":"Global climate commitments and local disconnect: Imagining climate change through Indonesia's community climate program","authors":"Raudlatul Jannah ,&nbsp;Lala M. Kolopaking ,&nbsp;Soeryo Adiwibowo ,&nbsp;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}
引用次数: 0
Death education among psychology university students: A psychosocial qualitative perspective 心理学系大学生的死亡教育:心理社会质性视角
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 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。
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引用次数: 0
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Global Transitions
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