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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
Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals 艾默生关于印尼地区医院血液透析服务公私伙伴关系产出的框架
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.01.001
Masyitoh Basabih , Eko Prasojo , Amy Yayuk Sri Rahayu

Context

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

Methods

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

Findings

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

Conclusions

The outcomes of implementing PPP in hemodialysis services at regional hospital are influenced by system context, drivers, and collaborative processes both directly and indirectly. Policy barriers, human resources, and corrupt practices also affect the process and outcomes of hemodialysis PPP, which are perceived not to be in line with good governance.
背景公私伙伴关系(ppp)已成为印度尼西亚区域医院提供血液透析设备的主要解决方案。分析ppp的实现需要使用协作治理框架来提供全面的分析并描述变量之间的关系。本研究旨在确定系统背景、驱动因素和协作过程对印尼地区医院PPP血液透析服务结果的影响。方法本研究采用定量分析的方法,通过调查获得第一手资料。研究样本包括111名受访者所代表的75家地区医院。采用偏最小二乘结构方程建模(PLS-SEM)技术进行分析。结果:系统情境通过驱动变量的中介间接影响过程(0.451),其中驱动变量显著影响协同过程(0.534),协同过程显著影响结果(0.773)。政策维度对系统环境的贡献最大,而相应的激励维度对驱动因素的贡献也最大。在过程变量中,共同作用能力是贡献最大的维度。结论PPP在地区医院血液透析服务中的实施结果受到制度背景、驱动因素和协作过程的直接和间接影响。政策障碍、人力资源和腐败行为也会影响血液透析PPP的过程和结果,这被认为不符合良好的治理。
{"title":"Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals","authors":"Masyitoh Basabih ,&nbsp;Eko Prasojo ,&nbsp;Amy Yayuk Sri Rahayu","doi":"10.1016/j.glt.2025.01.001","DOIUrl":"10.1016/j.glt.2025.01.001","url":null,"abstract":"<div><h3>Context</h3><div>Public-private partnerships (PPPs) have become the dominant solution adopted by regional hospitals in Indonesia for providing hemodialysis equipment. Analyzing the implementation of PPPs requires using a collaborative governance framework to provide a comprehensive analysis and depict the relationships between variables. This study aims to determine the influence of system context, drivers, and collaborative processes on the outcomes of PPP hemodialysis services in regional hospital in Indonesia.</div></div><div><h3>Methods</h3><div>This study employs a quantitative approach with primary data obtained through a survey. The research sample consists of 75 regional hospitals represented by 111 respondents. Analysis was conducted using the Partial Least Square-Structural Equation Modeling (PLS-SEM) technique.</div></div><div><h3>Findings</h3><div>The system context indirectly influences the process through mediation by the driver variable at 0.451, where the driver significantly affects the collaborative process at 0.534, and the collaborative process significantly influences the outcome at 0.773. The policy dimension makes the largest contribution to the systemic context, as does the consequential incentive dimension to the drivers. In the process variable, the capacity for joint action is the dimension with the greatest contribution.</div></div><div><h3>Conclusions</h3><div>The outcomes of implementing PPP in hemodialysis services at regional hospital are influenced by system context, drivers, and collaborative processes both directly and indirectly. Policy barriers, human resources, and corrupt practices also affect the process and outcomes of hemodialysis PPP, which are perceived not to be in line with good governance.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 56-68"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of air pollution with ischemic heart disease, stroke, diabetes, COPD, lung cancer, and all-cause mortality: Effect modification by pro-inflammatory diet 空气污染与缺血性心脏病、中风、糖尿病、慢性阻塞性肺病、肺癌和全因死亡率的关系:促炎饮食的影响
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.05.002
Chuan-Guo Guo , Yufan Liu , Feifei Zhang

Background

The role of interactions of diet and air pollution in health outcomes remain unclear. This study investigated the combined effects of a pro-inflammatory diet and long-term air pollution exposure on the risk of five common diseases and all-cause mortality.

Methods

We included 120,000 UK Biobank participants with ≥2 Oxford WebQ 24-h dietary assessments. Cox proportional hazards models were employed to examine the associations between two exposures—Dietary Inflammatory Index (DII) scores and seven air pollutants (PM2.5, PM10, NO2, NOX, SO2, CO, and benzene)—with six outcomes: ischemic heart disease (IHD), stroke, diabetes (all diabetes types encompassing insulin- and non-insulin-dependent, and others), chronic obstructive pulmonary disease (COPD), lung cancer, and mortality. Non-linear exposure–response associations were modeled using shape-constrained health impact functions and penalized splines. Multiplicative interaction effects between DII and air pollutants were evaluated via likelihood-ratio tests.

Results

Our findings indicated exposure to air pollutants were associated with increased risks of diabetes, COPD, IHD, and stroke (hazard ratios 1.004–1.049). Higher DII predicted 1.034–1.086 fold greater risk of diabetes, COPD, lung cancer, and mortality. Significant multiplicative interactions (P for interaction <0.05) indicated that the effects of air pollutant on diabetes, COPD, and mortality were amplified among participants with higher DII, whereas no significant air pollutant-outcome associations were seen in those with low or intermediate DII.

Conclusions

A pro-inflammatory diet may amplify the adverse health effects of air pollution, highlighting potential for dietary interventions to complement environmental regulations.
饮食和空气污染的相互作用在健康结果中的作用尚不清楚。这项研究调查了促炎饮食和长期接触空气污染对五种常见疾病和全因死亡率风险的综合影响。方法纳入120,000名英国生物银行参与者,进行≥2次Oxford WebQ 24小时饮食评估。采用Cox比例风险模型来检查两种暴露-饮食炎症指数(DII)评分与七种空气污染物(PM2.5, PM10, NO2, NOX, SO2, CO和苯)之间的关系-与六种结局:缺血性心脏病(IHD),中风,糖尿病(所有糖尿病类型,包括胰岛素和非胰岛素依赖性以及其他),慢性阻塞性肺疾病(COPD),肺癌和死亡率。非线性暴露-反应关联使用形状约束的健康影响函数和惩罚样条进行建模。通过似然比检验评估DII与空气污染物之间的倍增相互作用效应。结果暴露于空气污染物与糖尿病、COPD、IHD和卒中风险增加相关(危险比1.004-1.049)。较高的DII预示着糖尿病、慢性阻塞性肺病、肺癌和死亡率增加1.034-1.086倍。显著的乘法相互作用(P为相互作用<;0.05)表明,空气污染物对糖尿病、慢性阻塞性肺病和死亡率的影响在较高DII的参与者中被放大,而在低或中等DII的参与者中没有发现显著的空气污染物与预后的关联。结论促炎饮食可能会放大空气污染对健康的不良影响,强调饮食干预对环境法规的补充潜力。
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引用次数: 0
Addressing scandals and greenwashing in carbon offset markets: A framework for reform 解决碳补偿市场中的丑闻和洗绿问题:改革框架
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.06.003
Nophea Sasaki
Voluntary carbon markets (VCMs) are becoming increasingly central to corporate climate strategies and global emissions reduction efforts. However, recent carbon scandals and greenwashing controversies have exposed major integrity gaps. This review synthesizes evidence from academic research, regulatory reports, and case studies to analyze systemic weaknesses—such as fraudulent crediting, inflated baselines, lack of additionality, and unverifiable climate claims—that undermine the credibility and effectiveness of carbon offsetting. Poor governance, inadequate monitoring and verification (MRV), and limited accountability have triggered reputational and financial risks, diminishing trust in VCMs as legitimate climate finance mechanisms. To address these shortcomings, we propose a six-pillar reform framework comprising (1) transparency, (2) verification integrity, (3) accountability, (4) environmental and social safeguards, (5) smart technologies, and (6) strategic alignment with global goals. The framework is grounded in practical tools, including blockchain-enabled registries, AI-assisted MRV, rights-based standards, and legal mechanisms to improve credit quality and stakeholder confidence. We also evaluate emerging regulatory instruments—such as Article 6 of the Paris Agreement—and integrity initiatives aimed at harmonizing rules and preventing abuse. Drawing from real-world REDD + projects, we assess how digital innovations can support permanence, additionality, and leakage prevention, while also recognizing their limitations without institutional enforcement. Aligning carbon market reforms with broader sustainability and equity objectives can enhance co-benefits—such as biodiversity protection, air quality improvement, and community resilience—while supporting net-zero transitions and strengthening the legitimacy of post-2025 climate finance systems.
自愿碳市场(VCMs)在企业气候战略和全球减排努力中正变得越来越重要。然而,最近的碳丑闻和洗绿争议暴露了重大的诚信缺口。本综述综合了来自学术研究、监管报告和案例研究的证据,以分析系统性弱点——如欺诈性信用、虚高的基线、缺乏额外性和无法验证的气候主张——这些弱点削弱了碳抵消的可信度和有效性。治理不善、监测和核查(MRV)不足以及问责有限引发了声誉和财务风险,降低了人们对vcm作为合法气候融资机制的信任。为了解决这些缺陷,我们提出了一个六支柱改革框架,包括:(1)透明度,(2)核查完整性,(3)问责制,(4)环境和社会保障,(5)智能技术,以及(6)与全球目标的战略一致性。该框架以实用工具为基础,包括支持区块链的注册表、人工智能辅助的MRV、基于权利的标准以及提高信贷质量和利益相关者信心的法律机制。我们还评估了新兴的监管工具——如《巴黎协定》第6条——以及旨在协调规则和防止滥用的诚信倡议。借鉴现实世界的REDD +项目,我们评估了数字创新如何支持持久性、附加性和泄漏预防,同时也认识到它们在没有制度强制执行的情况下的局限性。将碳市场改革与更广泛的可持续性和公平性目标相结合,可以增强共同效益,如生物多样性保护、空气质量改善和社区复原力,同时支持净零排放转型,并加强2025年后气候融资体系的合法性。
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引用次数: 0
Investigating farmers’ adoption of mobile Agri-Tech: A TAM-Based study of KaseChar in Eastern Thailand 调查农民对移动农业技术的采用:基于tam的泰国东部KaseChar研究
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.07.003
Eain Dray Aung , Nophea Sasaki , Takuji W. Tsusaka , Chaklam Silpasuwanchai
Addressing agricultural waste through digital innovation is vital for mitigating environmental harm and supporting sustainable farming. This study examines the adoption of KaseChar, a mobile application designed to reduce open-field burning and promote agriwaste management among Participatory Guarantee System (PGS) farmers in Chachoengsao Province, Eastern Thailand. Using the Technology Acceptance Model (TAM), we evaluated perceived usefulness (PU), perceived ease of use (PEOU), and behavioral intention (BI) through a structured survey of 150 farmers. Results show high ratings for PU (mean = 4.11), PEOU (mean = 4.08), and BI (mean = 4.03), with key adoption drivers including productivity, efficiency, digital proficiency, and social influence. Exploratory Factor Analysis identified efficiency, usability, and public support as core factors. Waste management cost significantly influenced PU (β = 0.126, p = 0.009), while internet usage was positively correlated with PEOU (β = 0.252, p = 0.002). Despite high smartphone access, barriers such as digital literacy, labor intensity, and infrastructure gaps—particularly among older farmers—limit adoption. The study recommends targeted training, subsidies, and digital infrastructure improvements to scale adoption. It also contributes to TAM literature by integrating contextual variables like digital readiness and financial capacity. Future research should explore long-term behavioral impacts and conduct multi-regional comparisons to enhance scalability and generalizability of findings.
通过数字创新解决农业废弃物问题对于减轻环境危害和支持可持续农业至关重要。本研究考察了KaseChar的采用情况。KaseChar是一款旨在减少泰国东部chachengsao省参与性担保制度(PGS)农民露天焚烧和促进农业废弃物管理的移动应用程序。通过对150名农民的结构化调查,我们使用技术接受模型(TAM)评估了感知有用性(PU)、感知易用性(PEOU)和行为意图(BI)。结果显示,PU(平均= 4.11)、PEOU(平均= 4.08)和BI(平均= 4.03)的评分很高,主要采用驱动因素包括生产力、效率、数字熟练程度和社会影响力。探索性因素分析确定了效率、可用性和公众支持作为核心因素。垃圾管理成本显著影响PU (β = 0.126, p = 0.009),互联网使用与PEOU正相关(β = 0.252, p = 0.002)。尽管智能手机普及率很高,但数字素养、劳动强度和基础设施差距等障碍——尤其是在老年农民中——限制了智能手机的采用。该研究建议有针对性的培训、补贴和数字基础设施改善,以促进大规模采用。它还通过整合诸如数字化准备和财务能力等上下文变量,为TAM文献做出贡献。未来的研究应探索长期的行为影响,并进行多区域比较,以增强研究结果的可扩展性和普遍性。
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引用次数: 0
Effectiveness of admission-avoidance hospital at home as alternative to routine hospital care in older adults: a systematic review and meta-analysis 避免住院在家作为老年人常规医院护理替代的有效性:一项系统回顾和荟萃分析
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.06.002
Mengyuan Cheng , Lulu Lin , Xiaowen Cao , Weiming Tang , Xin Xu , Xiaoxue Zhang , Yongshun Huang , Junzhang Tian , Zhongzhi Xu , Weibin Cheng
This systematic review and meta-analysis aimed to assess the effectiveness of home-based programmes to prevent hospital admissions compared with traditional hospital-based care for older adults. Health outcomes analysed included readmission rates, mortality, and length of treatment. Data from 15 studies were synthesised using Review Manager (version 5.4), and heterogeneity was assessed using forest plots and I2statistics. Subgroup analyses were performed for randomised controlled trials and for specific patient groups, such as those with cardiovascular and respiratory disease. The results suggest that hospital at home programmes may reduce the risk of readmission (risk ratio = 0.76, 95 % CI 0.58 to 1.01, P = 0.05), especially for patients with respiratory diseases (risk ratio = 0.53, 95 % CI 0.39 to 0.73, P = 0.00007), with no significant differences in mortality or treatment duration between groups.
本系统综述和荟萃分析旨在评估以家庭为基础的方案与传统的以医院为基础的老年人护理相比预防住院的有效性。分析的健康结果包括再入院率、死亡率和治疗时间。使用Review Manager (version 5.4)对来自15项研究的数据进行综合,并使用森林样地和i2统计来评估异质性。对随机对照试验和特定患者组(如心血管和呼吸系统疾病患者)进行亚组分析。结果表明,居家医院方案可降低再入院风险(风险比= 0.76,95% CI 0.58 ~ 1.01, P = 0.05),特别是呼吸道疾病患者(风险比= 0.53,95% CI 0.39 ~ 0.73, P = 0.00007),两组之间的死亡率或治疗时间无显著差异。
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引用次数: 0
Understanding the surge in elective caesarean sections: Role of older women's childbirth choices on younger women in India 了解选择性剖腹产的激增:印度老年妇女分娩选择对年轻妇女的作用
Q1 Social Sciences Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.06.007
Priyanka Dixit , Anjali Bansal , Rahul Mishra , Eugine Paul , Shivalingappa S. Halli
The global rise in Caesarean sections (CS), including India's increase from 8.5 % in 2005-06 to 21.5 % in 2019–21, poses a significant public health challenge. This study investigates the factors driving elective CS decisions, focusing on how older women's childbirth experiences influence younger women's choices within the same household, using data from the National Family Health Survey-5. Multivariable logistic regression and propensity score matching (PSM) were applied to see the influence of older women's Elective CS decisions on their younger peers within the same household. Results show that younger women were more likely to choose elective CS if older women previously had one (29.0 % vs. 15.1 %, AOR = 1.72). Other significant predictors include mass media exposure (AOR = 1.13), private healthcare (AOR = 2.84), and older maternal age (AOR = 2.54 for ages 35–40 years). Regional differences were evident, with South India showing the highest CS rates among younger women (40.4 %), when their older household peer had undergone a CS rates. Wealth and education also played a role, with the richest women having higher odds (AOR = 2.00) and secondary education showing the greatest effect (AOR = 1.43). PSM analysis found an eight percent higher likelihood of elective CS among younger women if older women had one (ATT = 0.086; p < 0.001). In conclusion, the study shows that the childbirth experiences of older women strongly affect younger women's decisions to opt for elective CS, highlighting the important role of influence within households in shaping these choices.
全球剖腹产率的上升,包括印度从2005-06年的8.5%上升到2019-21年的21.5%,构成了重大的公共卫生挑战。本研究使用国家家庭健康调查5的数据,调查了推动选择性CS决策的因素,重点关注同一家庭中年长妇女的分娩经历如何影响年轻妇女的选择。采用多变量逻辑回归和倾向评分匹配(PSM)来观察同一家庭中老年妇女选择CS决策对其年轻同龄人的影响。结果显示,如果老年妇女以前有过CS,年轻妇女更有可能选择选择性CS(29.0%比15.1%,AOR = 1.72)。其他重要的预测因素包括大众媒体接触(AOR = 1.13)、私人医疗保健(AOR = 2.84)和母亲年龄较大(35-40岁的AOR = 2.54)。地区差异很明显,印度南部年轻女性的儿童性侵率最高(40.4%),而她们的家庭长辈经历了儿童性侵率。财富和教育程度也有影响,最富有的女性患病几率更高(AOR = 2.00),中等教育程度的影响最大(AOR = 1.43)。PSM分析发现,如果老年女性患有选择性CS,年轻女性患选择性CS的可能性要高8% (ATT = 0.086;p & lt;0.001)。总之,研究表明,老年妇女的分娩经历强烈影响年轻妇女选择选修CS的决定,突出了家庭内部影响在形成这些选择中的重要作用。
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Global Transitions
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