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Early sexual initiation among school youths in Metekel Zone, Benishangul Gumuz Region, Northwestern Ethiopia: Cross sectional study 埃塞俄比亚西北部Benishangul Gumuz地区Metekel地区学校青少年的早期性行为:横断面研究
Q1 Social Sciences 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.
背景:严重的性行为会对青少年产生严重的负面影响。生理、心理、社会文化和经济因素使青少年过早开始性行为的风险很高。本研究旨在评估Benishangul Gumuz地区学校青少年的早期性行为水平及其相关因素。方法以学校为基础的横断面研究于2022年2月4日至15日进行。使用预先测试和自我管理的问卷来收集数据。使用双变量和多变量二元逻辑回归模型来确定性起始和自变量之间是否存在显著关联。结果424名调查对象中,178人(43%)曾有性行为,其中143人(80.3%)在18岁前有性行为。15 ~ 19岁学生(AOR = 6.29;95% CI: 2.53, 15.63)和那些有多个性伴侣的人(AOR = 5.08, 95% CI = 2.00, 12.87)与他们的同伴相比,有更高的几率过早开始性行为。同样,饮酒的学生(AOR = 2.91, 95% CI = 1.03, 8.17)和在性交过程中从未使用安全套的学生(AOR = 3.09, 95% CI = 1.22, 7.81)与同龄学生相比,在早期开始性交的几率更高。结论本研究显示该地区存在较高的早期性行为发生率。预测因素包括有多个性伴侣、从未使用安全套和酗酒。推迟开始性行为的年龄是一项需要纳入中小学课程的策略。父母也有道德上的义务和责任教育他们的孩子关于过早开始性行为的影响和后果。
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引用次数: 0
Water and sanitation access shapes cholera burden in low- and middle-income countries 在低收入和中等收入国家,获得水和卫生设施影响霍乱负担
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.06.001
Wanqi Wen , Wenxuan Zhao , Dashan Zheng , Jianheng Chen , Biao Kan , Haijian Zhou , Bo Pang , Hualiang Lin

Introduction

The United Nations Sustainable Development Goals (UN SDG) include targets for safe drinking water, sanitation, and hygiene (WASH), which are critical in preventing cholera, a persistent health threat in low- and middle-income countries (LMICs). We aimed to assess the attributable burden of WASH on cholera under the UN SDG framework to inform global control efforts.

Methods

We extracted cholera-related information along with socioeconomic, geographical, and climate data across 89 LMICs from 2000 to 2017. Genome data from Enterobase and World Health Organization (WHO) weekly reports, were utilized to identify cholera occurrence. A modified Poisson generalized additive mixed model (GAMM) was employed to investigate the impact of WASH access on cholera, and the attributable burden and prevention fraction were further estimated.

Results

Statistically significant protective effects against cholera were observed for improved WASH facilities (e.g., piped water: prevalence ratio, PR = 0.88, 95 % CI: 0.85–0.91), while harmful effects were noted for unimproved facilities (e.g., open defecation: PR = 1.09, 95 % CI: 1.06–1.12). Regional disparities in WASH access further contributed to unequal cholera burden. In Sub-Saharan Africa, 25.77 % of cholera occurrences were attributed to the high proportion of unimproved drinking water, much higher than 9.09 % in Northern Africa and Western Asia. Achieving universal access to improved sanitation could reduce cholera risk by 32.98 % in Sub-Saharan Africa, compared to 7.47 % in Central and Southern Asia.

Conclusion

Our findings highlight the need for maintaining and increasing access to safe WASH in cholera-affected countries, and offer comprehensive information for implementing targeted, local-level control approaches to end cholera globally.
联合国可持续发展目标(UN SDG)包括安全饮用水、环境卫生和个人卫生(WASH)方面的具体目标,这些目标对于预防霍乱至关重要,霍乱是低收入和中等收入国家(LMICs)持续存在的健康威胁。我们的目的是在联合国可持续发展目标框架下评估WASH对霍乱的可归责负担,为全球控制工作提供信息。方法:我们提取了2000年至2017年89个中低收入国家的霍乱相关信息以及社会经济、地理和气候数据。利用来自Enterobase和世界卫生组织(世卫组织)周报的基因组数据来确定霍乱的发生。采用改进的泊松广义加性混合模型(GAMM)调查WASH获取对霍乱的影响,并进一步估计归因负担和预防比例。结果改善的WASH设施(例如,自来水:患病率,PR = 0.88, 95% CI: 0.85-0.91)对霍乱有统计学显著的保护作用,而未改善的设施(例如,露天排便:PR = 1.09, 95% CI: 1.06-1.12)对霍乱有有害影响。获得讲卫生服务方面的区域差异进一步加剧了霍乱负担的不平等。在撒哈拉以南非洲,25.77%的霍乱病例是由于大量未经改善的饮用水造成的,远高于北非和西亚的9.09%。实现普遍获得改善的卫生设施可使撒哈拉以南非洲的霍乱风险降低32.98%,而中亚和南亚的这一比例为7.47%。结论我们的研究结果强调了在受霍乱影响的国家维持和增加获得安全的WASH的必要性,并为在全球范围内实施有针对性的地方一级控制方法提供了全面的信息。
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引用次数: 0
Waste crisis and potential implications of forest Fires: Perspective from psychosocial cognition 废物危机和森林火灾的潜在影响:从社会心理认知的角度
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.05.001
Evi Frimawaty , Randi Mamola

Context

Agroforestry projects in the Peat Hydrological Unit (PHU) area represent the largest peat forest management and support center for sustainable ecological growth. However, old habits such as littering and burning become complicated tasks for strategic forest management. Components of past behavior, social norms, and risk management interventions should be adapted as the psychosocial cognitive part of a complex mitigation behavior cycle prediction. The integration of psychosocial cognitive strategies into sustainable development not only increases collective awareness and responsibility locally and supports the future management of global environmental health.

Novelty

This study aims to provide a constructive understanding of the prediction of hybrid feedback loops cognitive maps in the behavioral cycle of burning and waste crisis mitigation using SCT, SME, CBSM, and social capital variable.

Methods

This study used survey data on psychosocial cognitive assessments collected from communities involved in agroforestry projects in PHU, West Kalimantan. The psychosocial cognitive components of SCT, SME, CBSM, and social capital were measured using the Planning Environmental Behavior Index (PEBI). Data were analyzed using hybrid feedback loops model combining Bayesian simulation and logistic hierarchy to obtain the statistical efficiency logFC (Fold Change).

Results

Logistic regression analysis of psychosocial cognitive items in the SCT, CBSM, and SME components revealed a significant influence of norms (β = 0.26, t(124) = 2.47, ρ < 0.05) and trust (β = 0.13, t(124) = 1.05, ρ < 0.05). However, the network component (β = 0.09, t(124) = 0.37, ρ > 0.20) did not significantly predict waste crisis and forest fire mitigation behavior. The SCT items showed hierarchical statistical significance: PPC (β = 0.39, t(124) = 3.27, ρ < 0.05), RP (β = 0.19, t(124) = 2.07, ρ < 0.05), and PEC (β = 0.44, t(124) = 2.24, ρ < 0.05). Similarly, SME items significantly contributed to PPC (β = 0.46, t(124) = 3.33, ρ < 0.05), RP (β = 0.24, t(124) = 2.51, ρ < 0.05), and PEC (β = 0.59, t(124) = 3.48, ρ < 0.05). CBSM predictions showed the significance of PEC control for the proportion stage of CR (β = 0.31, t(124) = 2.64, ρ < 0.05) and ME (β = 0.44, t(124) = 2.24, ρ < 0.05). Based on the hybrid feedback loop model, logistic regression of PEC items and social norms significantly predicted the mitigation behavior cycle, especially at the “action” and “outcome expectation” nodes.

Conclusion

The predictive findings suggest that PEC items and social norms influence the reinforcement of hybrid feedback loops at the “action” and “outcome expectancy” nodes in analyzing the cognitive map of the perceived mitigation behavior cycle.
泥炭水文单元(PHU)地区的农林业项目是最大的泥炭森林管理和可持续生态增长支持中心。然而,诸如乱扔垃圾和焚烧等旧习惯成为战略森林管理的复杂任务。过去行为、社会规范和风险管理干预措施的组成部分应作为复杂缓解行为周期预测的社会心理认知部分加以调整。将社会心理认知战略纳入可持续发展不仅可以提高地方的集体意识和责任,而且还支持未来对全球环境卫生的管理。本研究旨在利用SCT、SME、CBSM和社会资本变量对燃烧和废物危机缓解行为周期中混合反馈回路认知图的预测提供建设性的理解。方法本研究使用了从西加里曼丹PHU参与农林业项目的社区收集的社会心理认知评估调查数据。采用规划环境行为指数(PEBI)测量SCT、SME、CBSM和社会资本的心理社会认知成分。采用贝叶斯仿真与logistic层次相结合的混合反馈回路模型对数据进行分析,得到统计效率logFC (Fold Change)。结果对SCT、CBSM和SME组成部分的心理社会认知项目进行logistic回归分析,结果显示规范对心理社会认知项目有显著影响(β = 0.26, t(124) = 2.47, ρ <;0.05)和信任(β = 0.13, t(124) = 1.05, ρ <;0.05)。而网络分量(β = 0.09, t(124) = 0.37, ρ >;0.20)不能显著预测废弃物危机和森林防火行为。SCT项目具有层次统计学意义:PPC (β = 0.39, t(124) = 3.27, ρ <;0.05), RP (β = 0.19, t(124) = 2.07, ρ <;0.05), PEC (β = 0.44, t(124) = 2.24, ρ <;0.05)。同样,中小企业项目对PPC的贡献显著(β = 0.46, t(124) = 3.33, ρ <;0.05), RP (β = 0.24, t(124) = 2.51, ρ <;0.05), PEC (β = 0.59, t(124) = 3.48, ρ <;0.05)。CBSM预测显示,PEC控制对CR比例阶段具有显著性(β = 0.31, t(124) = 2.64, ρ <;0.05)和ME (β = 0.44, t(124) = 2.24, ρ <;0.05)。基于混合反馈环模型的logistic回归结果表明,PEC项目和社会规范对缓解行为周期具有显著的预测作用,特别是在“行动”和“结果期望”节点。结论预测结果表明,在感知缓解行为周期的认知图分析中,PEC项目和社会规范影响了“行动”和“结果期望”节点上混合反馈回路的强化。
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引用次数: 0
Does climate finance foster happiness in African economies? Assessing the direct and indirect pathways 气候融资能提高非洲经济体的幸福感吗?评估直接和间接途径
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.05.003
Arsene Mouongue Kelly
In the face of Africa's persistent development and well-being challenges, climate finance emerges as a beacon of hope, promising not only environmental benefits but also potential improvements in quality of life. In this light, the present study set out to examine the effect of climate finance on subjective well-being in Africa using data from 37 African countries between 2012 and 2021. Employing ordinary least squares, the two-step system Generalized Method of Moments, and fixed effects Driscoll and Kraay regressions, the study finds that climate finance positively and significantly affects happiness. This effect remains robust even when considering endogeneity, cross-sectional dependence, alternative measures of climate finance, and sub-regional variations. Furthermore, the analysis of transmission channels validates natural resource rents and political stability as potential indirect pathways through which climate finance enhances well-being. Based on the findings, the study recommends that policymakers prioritize and scale up climate finance initiatives, integrate them with broader development strategies, control inflation, and establish transparent monitoring and evaluation systems to enhance the well-being of the populations.
面对非洲持续的发展和福祉挑战,气候融资成为了希望的灯塔,不仅有望带来环境效益,还有望改善生活质量。有鉴于此,本研究利用2012年至2021年间37个非洲国家的数据,着手研究气候融资对非洲主观幸福感的影响。采用普通最小二乘、两步系统广义矩量法和固定效应Driscoll和Kraay回归,研究发现气候融资对幸福感有显著的正向影响。即使考虑到内生性、横截面依赖性、气候资金的替代措施和次区域差异,这种效应仍然很强。此外,对传导渠道的分析证实,自然资源租金和政治稳定是气候融资增进福祉的潜在间接途径。根据研究结果,该研究建议政策制定者优先考虑并扩大气候融资倡议,将其与更广泛的发展战略相结合,控制通货膨胀,建立透明的监测和评估系统,以提高人民的福祉。
{"title":"Does climate finance foster happiness in African economies? Assessing the direct and indirect pathways","authors":"Arsene Mouongue Kelly","doi":"10.1016/j.glt.2025.05.003","DOIUrl":"10.1016/j.glt.2025.05.003","url":null,"abstract":"<div><div>In the face of Africa's persistent development and well-being challenges, climate finance emerges as a beacon of hope, promising not only environmental benefits but also potential improvements in quality of life. In this light, the present study set out to examine the effect of climate finance on subjective well-being in Africa using data from 37 African countries between 2012 and 2021. Employing ordinary least squares, the two-step system Generalized Method of Moments, and fixed effects Driscoll and Kraay regressions, the study finds that climate finance positively and significantly affects happiness. This effect remains robust even when considering endogeneity, cross-sectional dependence, alternative measures of climate finance, and sub-regional variations. Furthermore, the analysis of transmission channels validates natural resource rents and political stability as potential indirect pathways through which climate finance enhances well-being. Based on the findings, the study recommends that policymakers prioritize and scale up climate finance initiatives, integrate them with broader development strategies, control inflation, and establish transparent monitoring and evaluation systems to enhance the well-being of the populations.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 310-322"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212235","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
Developing a multidimensional sustainable framework for measuring inclusive Growth: Evidence from Egypt 制定衡量包容性增长的多维可持续框架:来自埃及的证据
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.06.005
Elsayed Farrag Elsaid Mohamad Elsayed , Yasmeen Fekery Yaseen Elkhodary , Mousa Gowfal Selmey , Abdalqader Ahmed Baker Al Bakery AL Masabi

Purposes

This study aims to develop and establish a concept referred to as Multidimensional Sustainable Inclusive Growth (MSIG), by examining inclusive growth from a micro-level perspective. Unlike previous studies that focus on the macro level, this approach seeks to offer a more realistic and precise definition and measure of inclusive growth on micro level, especially for developing countries.

Methods

The MSIG framework is constructed based on three key components.
A multidimensional participation component (measuring participation in production, adjusted by the ratio of wages to GDP), A multidimensional poverty component, and A multidimensional inequality component.
This approach introduces a comprehensive and in-depth measure of inclusive growth by integrating these dimensions into a single conceptual framework.

Findings

The results show notable variation in definitions, dimensions, and measurements of inclusive growth among existing literature. The newly developed MSIG shows: Positive growth in the years 2012, 2015, and 2019, and A decline in 2017.
The MSIGR (Multidimensional Sustainable Inclusive Growth Rate) was positive in 2012, 2015, and 2019—indicating a deterioration in inclusive growth—and negative in 2017, indicating an improvement in MSIGR.
When compared with Dudley Seers' method, both MSIGR and Seers’ inclusive growth rates display a similar trend, further validating the findings.

Conclusions

The study recommends that in developing country contexts, inclusive growth strategies should aim to be deep and multidimensional. Using comprehensive measures—such as poverty, inequality, and production participation (adjusted by wage-to-GDP ratios)—provides policymakers with nuanced insights into each component. This enables more informed decision-making and facilitates the adoption of strategies that foster sustainable and inclusive growth.
本研究旨在通过从微观层面考察包容性增长,发展并建立一个多维可持续包容性增长(MSIG)的概念。与以往关注宏观层面的研究不同,该方法力求在微观层面,特别是发展中国家,对包容性增长给出更现实、更精确的定义和衡量。方法基于三个关键组件构建MSIG框架。一个多维参与成分(衡量参与生产,由工资与GDP的比率调整),一个多维贫困成分,和一个多维不平等成分。该方法通过将这些维度整合到一个单一的概念框架中,引入了全面而深入的包容性增长衡量标准。研究结果显示,在现有文献中,包容性增长的定义、维度和测量方法存在显著差异。新开发的MSIG显示:2012年、2015年和2019年为正增长,2017年为下降。2012年、2015年和2019年多维可持续包容性增长率为正值,表明包容性增长恶化;2017年为负值,表明多维可持续包容性增长率有所改善。当与Dudley Seers的方法进行比较时,MSIGR和Seers的包容性增长率都显示出相似的趋势,进一步验证了研究结果。研究建议,在发展中国家背景下,包容性增长战略应着眼于深度和多维度。使用综合指标——如贫困、不平等和生产参与(按工资与gdp之比调整)——为政策制定者提供了对每个组成部分的细致洞察。这使决策更加明智,并有助于通过促进可持续和包容性增长的战略。
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引用次数: 0
Exploring the factors influencing the intention to use mHealth applications in resource scare settings; a SEM analysis among future nurses 探讨在资源紧张环境下影响使用移动医疗应用程序意愿的因素;未来护士的扫描电镜分析
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.04.002
Ramya Kundayi Ravi , Atul Shiva , Jaison Jacob , Priya Baby , Bharat Pareek , Kathyayani B. V
Mobile health applications (mHealth apps) in the healthcare industry are rapidly expanding, offering new opportunities for improving healthcare delivery, accessibility, and patient outcomes. They transformed the way medical services are delivered, particularly in resource-scarce settings. The success of these applications largely depends on their acceptance and adoption by healthcare professionals, including nurses. Understanding the factors that influence the intention to use these technologies is essential for designing applications that effectively meet the needs of future healthcare providers. This study aims to empirically explore factors influencing the intention to use mHealth apps among nursing students. A quantitative, exploratory survey tested and validated using the PLS-SEM on a convenience sample of 567 students from two Indian institutes. Findings reveal that ease of use plays a central role in shaping students' willingness to adopt mHealth apps, with time efficiency emerging as a significant determinant. Students were more likely to use these apps when they seamlessly fit into their routines and enhanced their workflow. Social influences, including peer encouragement and institutional support, significantly shaped their attitudes toward adoption. Privacy and trust concerns also played a crucial role, as students expressed a need for secure platforms that protect sensitive health information while ensuring reliability. Additionally, affordability influenced how users perceived accessibility and usability, highlighting the need for cost-effective solutions. However, researchers found that demographic factors such as age, gender, and study year had minimal influence. The study findings emphasize Prioritizing usability, security, and affordability can enhance mHealth app adoption, particularly in resource-limited setting.
医疗保健行业的移动医疗应用程序(mHealth应用程序)正在迅速扩展,为改善医疗保健服务、可及性和患者治疗结果提供了新的机会。它们改变了医疗服务的提供方式,特别是在资源匮乏的环境中。这些应用程序的成功在很大程度上取决于包括护士在内的医疗保健专业人员对它们的接受和采用。了解影响使用这些技术意图的因素对于设计有效满足未来医疗保健提供者需求的应用程序至关重要。本研究旨在实证探讨护生使用移动健康app意愿的影响因素。一项定量的、探索性的调查使用PLS-SEM对来自两所印度学院的567名学生的方便样本进行了测试和验证。调查结果显示,易用性在塑造学生采用移动健康应用程序的意愿方面起着核心作用,时间效率成为一个重要的决定因素。学生们更有可能使用这些应用程序,当它们无缝地融入他们的日常生活并改善他们的工作流程时。社会影响,包括同伴的鼓励和机构的支持,极大地影响了他们对收养的态度。隐私和信任问题也发挥了至关重要的作用,因为学生们表示需要在确保可靠性的同时保护敏感健康信息的安全平台。此外,可负担性影响用户对可访问性和可用性的看法,突出了对具有成本效益的解决方案的需求。然而,研究人员发现,年龄、性别和学习年份等人口因素的影响最小。研究结果强调,优先考虑可用性、安全性和可负担性可以提高移动健康应用的采用率,特别是在资源有限的环境中。
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引用次数: 0
Mitigating human health impacts of climate change: A case of Kerala state in India 减轻气候变化对人类健康的影响:以印度喀拉拉邦为例
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.06.006
Sanju Kaladharan , Dhanya Manayath , G. Rejikumar , Ann Faria
Climate change poses a serious threat to human health. The health sector plays a crucial role in addressing the challenges posed by climate change. It must both manage the unavoidable health impacts and take steps to reduce its own greenhouse gas emissions, contributing to broader climate mitigation efforts. Kerala, an Indian state, has formulated its State Action Plan on Climate Change and Human Health (SAPCCHH), a comprehensive long-term planning document. Set to remain in effect until 2027, the plan has broader implications for promoting climate-resilient and sustainable healthcare. Kerala's public health system stands out for its emphasis on accessible primary healthcare at the community level and its decentralized governance.SAPCCHH leverages key opportunities in the state, including empowered local self-governments that are implementing democratic decentralization. Its success in tackling the COVID-19 pandemic and the Nipah virus offers valuable global insights on how health systems can be better prepared to address the health impacts of climate change across various levels. This collaborative governance model, which emphasizes local and decentralized governance, can play a vital role in mitigating the health impacts of climate change. In this paper, we examine how a decentralized health ecosystem can be instrumental in mitigating the health impacts of climate change, using Kerala's successful responses in the past. The paper highlights three key strengths of Kerala's health system, which have broader implications for addressing the health challenges posed by climate change: Local self-government-led primary health system, Community mobilization, and Intersectoral collaboration.
气候变化对人类健康构成严重威胁。卫生部门在应对气候变化带来的挑战方面发挥着至关重要的作用。它既要管理不可避免的健康影响,又要采取措施减少自身的温室气体排放,为更广泛的减缓气候变化努力作出贡献。印度喀拉拉邦制定了《国家气候变化与人类健康行动计划》(SAPCCHH),这是一份全面的长期规划文件。该计划将持续到2027年,对促进气候适应型和可持续医疗保健具有更广泛的影响。喀拉拉邦的公共卫生系统因其强调社区一级可获得的初级卫生保健和分散管理而脱颖而出。SAPCCHH利用国家的关键机会,包括正在实施民主权力下放的授权地方自治政府。世卫组织在应对COVID-19大流行和尼帕病毒方面取得的成功,为卫生系统如何在各个层面上更好地应对气候变化对健康的影响提供了宝贵的全球见解。这种强调地方和分散治理的协作治理模式可以在减轻气候变化对健康的影响方面发挥至关重要的作用。在本文中,我们利用喀拉拉邦过去的成功应对措施,研究了分散的健康生态系统如何有助于减轻气候变化对健康的影响。本文强调了喀拉拉邦卫生系统的三个关键优势,这对应对气候变化带来的卫生挑战具有更广泛的影响:地方自治领导的初级卫生系统、社区动员和部门间合作。
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引用次数: 0
Insights on energy, poverty, and gender nexus in urban ger district households: A case study from Ulaanbaatar, Mongolia 城市蒙古包地区家庭的能源、贫困和性别关系:以蒙古乌兰巴托为例
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.04.003
Orgil Balgansuren , Narumon Arunotai
The 2030 Sustainable Development Agenda calls for integrating gender equality in all aspects of sustainable development. Still, there is limited understanding of how energy, poverty, and gender intersect in urban areas, particularly in Ulaanbaatar's ger districts, one of the world's coldest and most polluted capitals. Ger districts are disadvantaged residential areas consisting of traditional felt tents or self-built houses. This study addresses this knowledge gap using an intersectional gender perspective to explore how energy and air pollution impact residents. The study collected data through interviews with thirty-one ger district residents of various ages, (dis)abilities, health statuses, and observations and analysis of secondary data. The findings show the impact of severe air pollution and inequities on low-income residents, older individuals, and those with disabilities or poor health. The study reveals that energy poverty disproportionately affects women, highlighting the role of gender norms. It calls for more inclusive energy and environmental policies, emphasizing women's involvement in policy design and implementation for greater justice.
《2030年可持续发展议程》呼吁将性别平等纳入可持续发展的各个方面。然而,对于能源、贫困和性别如何在城市地区相互交织,尤其是在乌兰巴托的大区,这个世界上最寒冷、污染最严重的首都之一,人们的理解有限。蒙古包区是由传统毡帐或自建房屋组成的弱势居住区。本研究使用交叉性别视角来探讨能源和空气污染对居民的影响,以解决这一知识差距。本研究通过访谈31位不同年龄、残疾、健康状况的蒙古区居民,以及对二次资料的观察与分析,收集资料。研究结果显示了严重的空气污染和不平等对低收入居民、老年人、残疾人或健康状况不佳的人的影响。该研究表明,能源贫困对女性的影响尤为严重,凸显了性别规范的作用。它呼吁制定更具包容性的能源和环境政策,强调妇女参与政策的设计和实施,以实现更大的正义。
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引用次数: 0
Development and evaluation of an artificial intelligence (AI) -assisted chest x-ray diagnostic system for detecting, diagnosing, and monitoring tuberculosis 开发和评估用于检测、诊断和监测结核病的人工智能(AI)辅助胸部x线诊断系统
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.005
Lalita Kaewwilai , Hiroshi Yoshioka , Antoine Choppin , Thepasit Prueksaritanond , Thitisant Palakawong Na Ayuthaya , Chantapat Brukesawan , Somruetai Matupumanon , Sho Kawabe , Yuki Shimahara , Arthit Phosri , Orawan Kaewboonchoo

Objectives

To develop an artificial intelligence (AI)-assisted chest x-ray diagnostic system for the detection, differential diagnosis, and follow-up of tuberculosis (TB), and prove its usefulness.

Methods

This is a retrospective study. In-house developed AI-assisted chest x-ray diagnostic system was used to identify and diagnose lung abnormalities in participants' chest x-rays and to compare imaging findings from two x-rays. First, 100 chest radiographs were reviewed including TB cases (N = 43) with positive sputum test confirmation and non-TB cases (N = 57) for initial diagnosis and differential diagnosis. Next, 45 pairs of TB cases from the identical patients were reviewed for follow-up. The AI system diagnosed TB and graded the comparison images into three categories (improved, stable, or worsening). The performance was evaluated by four expert radiologists or pulmonary medicine specialists.

Results

The AI system demonstrated an exceptional sensitivity of 100 %, successfully identifying all 43 TB cases. Nevertheless, it is also susceptible to misclassify other diseases as TB, resulting in low specificity score of 66.7 %. The comparison function determined that expert physicians and AI-assisted chest x-ray diagnostic system were 58 % in exact agreement and 100 % in within one grade agreement.

Conclusions

The AI system successfully detected all TB patients identified in this study and demonstrated a reasonable comparison function. Therefore, our AI assisted chest x-ray diagnostic system is feasible and practical for TB screening.
目的研制一种人工智能(AI)辅助胸部x线诊断系统,用于结核病(TB)的检测、鉴别诊断和随访,并证明其实用性。方法回顾性研究。内部开发的人工智能辅助胸部x线诊断系统用于识别和诊断参与者胸部x线中的肺部异常,并比较两次x线的成像结果。首先,对100例胸片进行初步诊断和鉴别诊断,包括痰试验证实阳性的结核(43例)和非结核(57例)。接下来,对来自相同患者的45对结核病病例进行了随访。人工智能系统诊断出结核病,并将比较图像分为三类(改善、稳定或恶化)。四名放射科专家或肺部医学专家对患者的表现进行了评估。结果人工智能系统具有100%的异常敏感性,成功识别了43例结核病例。但也容易将其他疾病误分类为TB,特异性评分较低,仅为66.7%。比较函数确定专家医师和人工智能辅助胸部x线诊断系统的精确一致性为58%,一级内一致性为100%。结论人工智能系统成功地检测出本研究中所有的结核病患者,并显示出合理的比较功能。因此,我们的人工智能辅助胸部x线诊断系统用于结核病筛查是可行和实用的。
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引用次数: 0
The significance of emotional intelligence in academic stress, resilience, and safe transition from high school to university: An SEM analysis among Northern Emirati university students 情商在学业压力、弹性和高中到大学的安全过渡中的意义:阿联酋北部大学生的SEM分析
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.003
Mona Gamal Mohamed , Taliaa Mohsen Al-Yafeai , Shukri Adam , Md Moyazzem Hossain , Ramya Kundayi Ravi , Fatima Mohamed Jalo , Aamna Eltayeb Osman

Background

Emotional intelligence and resilience empower students in the academic settings to face and overcome the challenges that comes with demanding academic tasks and social pressure.

Objective

This study aimed to examine the role of emotional intelligence in managing academic stress, fostering resilience, and supporting the transition experience among Northern Emirati students in health sciences. Additionally, it sought to assess whether factors such as GPA are related to EI, stress, and resilience levels.

Methods

A cross-sectional, descriptive survey design was used, with data collected from 230 second -year students at RAK Medical and Health Sciences University. The questionnaire included sections on sociodemographic data, the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF), the Brief Resilience Scale (BRS), and the Student Stress Inventory - Stress Manifestations (SSISM). Data analysis involved descriptive statistics in SPSS version 29, Structural Equation Modeling (SEM) for relational insights, and regression analysis in R to evaluate the predictive influence of EI on stress and resilience.

Results

Regression analysis indicated that EI significantly predicted resilience and stress levels, with GPA showing an additional positive relationship to EI and resilience. Regression analysis indicated that EI significantly predicted resilience (β = 0.52, p < 0.001) and stress levels (β = −0.33, p < 0.001). GPA exhibited a positive relationship with resilience (r = 0.29, p < 0.05) and well-being (r = 0.45, p < 0.001). Structural Equation Modeling (SEM) confirmed a well-fitting model (Chi-Square/DF = 2.879, RMSEA = 0.108, CFI = 0.785, TLI = 0.846). The path coefficients demonstrated that well-being had the strongest influence on GPA (β = 0.452, p < 0.001), while stress had a minimal but non-significant impact (β = 0.087, p = 0.107).

Conclusions

The findings suggest that emotional intelligence is a significant factor in helping health sciences students manage academic stress and foster resilience. These results highlight the potential benefit of EI development programs to support students during key academic transitions. However, the study's cross-sectional design and reliance on self-reported data suggest that further longitudinal research is needed to confirm these findings.
情商和适应力使学生在学术环境中能够面对和克服艰巨的学术任务和社会压力带来的挑战。目的本研究旨在探讨情绪智力在管理学业压力、培养韧性和支持阿联酋北部健康科学学生的过渡体验方面的作用。此外,它还试图评估GPA等因素是否与情商、压力和恢复能力水平有关。方法采用横断面描述性调查设计,收集来自RAK医学与健康科学大学230名二年级学生的数据。问卷内容包括社会人口统计数据、特质情商短表(TEIQue-SF)、简短弹性量表(BRS)和学生压力量表-压力表现(SSISM)。数据分析使用SPSS version 29进行描述性统计,使用结构方程模型(SEM)进行关系分析,使用R进行回归分析,评估EI对应力和恢复力的预测影响。结果回归分析表明,EI对心理弹性和压力水平有显著的预测作用,GPA与EI和心理弹性呈显著正相关。回归分析表明,EI显著预测心理弹性(β = 0.52, p <;0.001)和应力水平(β = - 0.33, p <;0.001)。GPA与弹性呈正相关(r = 0.29, p <;0.05)和幸福感(r = 0.45, p <;0.001)。结构方程模型(SEM)证实模型拟合良好(Chi-Square/DF = 2.879, RMSEA = 0.108, CFI = 0.785, TLI = 0.846)。通径系数显示,幸福感对GPA的影响最大(β = 0.452, p <;0.001),而压力的影响最小但不显著(β = 0.087, p = 0.107)。研究结果表明,情商是帮助健康科学专业学生管理学业压力和培养适应力的重要因素。这些结果强调了情商发展项目在关键的学业过渡期间支持学生的潜在好处。然而,该研究的横断面设计和对自我报告数据的依赖表明,需要进一步的纵向研究来证实这些发现。
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引用次数: 0
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Global Transitions
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