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This paper examines the link between attitudes, the acceptance of violence and the performance of extremist acts. It is tested, if different ideologies of extremism develop commonalities in their positions, attitudes and structures. Data from a school survey of more than 6,700 9th grade students from Germany serves as the empirical basis. The results show among other things that different extremist ideologies (right-wing, left-wing, Islamism) covary on the level of attitudes, acceptance of violence and extremist behavior. In a further step of analysis, the theoretically based paths of initially extremist attitudes, then an additional approval of violence and finally the commission of extremist acts was examined approximately in a person-oriented approach. Except for one path, the analyses of radicalization patterns confirm a model that commences on the cognitive level, followed by the acceptance of deviant means to reach ideological goals and finally leading to extremist acts. [ABSTRACT FROM AUTHOR]

The majority of transgender and gender-nonconforming people (TGNC) report negative experiences with doctors in the healthcare system. As there is little knowledge about the communication behaviour of doctors towards TGNC, this survey aimed to assess the self-reported trans-inclusive communication of doctors and their willingness to communicate trans-inclusively, as well as their self-perceived barriers to it. A mixed-methods survey was applied for this. Firstly, we measured self-reported trans-inclusive communication behaviour based on the CommTrans questionnaire. Based on this, the overall willingness, as well as self-perceived barriers (qualitative) to communication, were assessed. In total, N = 57 doctors took part in the survey. Most participants reported not introducing themselves using pronouns (79.4%). Of these, 61.4% said that they would not be able to do this in the future either. Perceived barriers were classified into the following eight categories: necessity, sample-dependency, habit, structural barriers in practice, uncertainties in dealing with the topic, limits of patient-centredness, gender as a binary concept, and transphobia. In summary, doctors in Germany show different degrees of trans-inclusive communication. It is likely that this has a negative effect on TGNC, their health and access to the healthcare system. [ABSTRACT FROM AUTHOR]

Background Ultraviolet (UV) exposure during outdoor work increases the risk of developing skin cancer. Therefore, the uptake of recommended sun protection behaviors is important to prevent UV-related skin damage in the population of outdoor workers. To develop targeted prevention campaigns, information on the use of sun protection behaviors in different industries is needed. Methods A total of 486 outdoor workers were surveyed on the use of several sun protection measures as part of the 7th wave of the National Cancer Aid Monitoring. Furthermore, details on job-related characteristics, sociodemographics, and skin type were assessed. Descriptive analyses stratified by sex were conducted. Results In general, use of sun protection was insufficient (e.g. 38.4% used sunscreen on the face). Sun protection behavior differed between female and male outdoor workers with females being more likely to use sunscreen and males being more likely to wear sun protective clothes and headgear. For male outdoor workers, we revealed several associations with job-related characteristics. For instance, those who were employed full time were more likely to wear sun protective clothes (e.g. shoulder-covering shirt: 87.1% versus 50.0%, P < 0.001). Discussion We identified deficits in sun protection behavior in outdoor workers and differences by sex- and job-related characteristics. These differences offer starting points for targeted prevention measures. In addition, the findings may inspire qualitative research. [ABSTRACT FROM AUTHOR]

Background: Adolescence is a phase of higher vulnerability for suicidal behavior. In Germany, almost 500 adolescents and young adults aged 15-25 years commit suicide each year. Youths in rural areas are characterized by a higher likelihood of poorer mental health. In rural areas, appropriate support for adolescents and young adults in mental health crises is difficult to access. The general acceptability of digital communication in youths can make the provision of an eHealth tool a promising strategy. Objective: The aim of this study was to explore the health needs regarding suicide prevention for adolescents and young adults in rural areas of Germany and Switzerland and to identify characteristics of suitable e-mental health interventions. Methods: This study reports on a qualitative secondary analysis of archived data, which had been collected through formative participatory research. Using 32 semistructured interviews (individually or in groups of 2) with 13 adolescents and young adults (aged 18-25 years) and 23 experts from relevant fields, we applied a deductive-inductive methodological approach and used qualitative content analyses according to Kuckartz (2016). Results: Experts as well as adolescents and young adults have reported health needs in digital suicide prevention. The health needs for rural adolescents and young adults in crises were characterized by several categories. First, the need for suicide prevention in general was highlighted. Additionally, the need for a peer concept and web-based suicide prevention were stressed. The factors influencing the acceptability of a peer-driven, web-based support were related to low-threshold access, lifelike intervention, anonymity, and trustworthiness. Conclusions: The results suggest a need for suicide prevention services for adolescents and young adults in this rural setting. Peer-driven and web-based suicide prevention services may add an important element of support during crises. By establishing such a service, an improvement in mental health support and well-being could be enabled. These services should be developed with the participation of the target group, taking anonymity, trustworthiness, and low-threshold access into account. [ABSTRACT FROM AUTHOR]

The high level of uncertainty brought about by the COVID‐19 pandemic has affected the general population's well‐being and capacity for adaptive responding. Studies indicate that flexibility, defined as the ability to choose and employ a variety of emotional, cognitive and behavioural strategies in accordance with changing contextual demands, may significantly contribute to adaptive responding to long‐term stressors such as COVID‐19. In the current study, we aimed to investigate which facets of flexibility predict different latent profiles of adaptive responding to the COVID‐19 pandemic in Israel and Germany. A total of 2330 Israelis and 743 Germans completed online questionnaires measuring cognitive and coping regulatory flexibility and cognitive, emotional and behavioural responding to the COVID‐19 pandemic. Analyses revealed three distinct response profiles in each country (high, medium and low). These profiles differed in both anxiety and depression symptoms with the non‐adaptive response group experiencing clinically relevant symptoms both in Israel and Germany. Additionally, cognitive flexibility and coping flexibility emerged as significant predictors of response profiles in both countries. Training cognitive and coping flexibility may thus help individuals respond more adaptively to psychosocial stressors such as COVID‐19. Such training could be selectively administered to less flexible subpopulations as well as adapted to the specific population characteristics. [ABSTRACT FROM AUTHOR]

To analyze which pandemic related changes of attitudes and behaviors were perceived by Seventh-day Adventists (SDA) and how these relate to wellbeing, a cross-sectional survey with standardized questionnaires was performed. Participants (n = 1,494) stated changes for Relationships, Digital media usage and Nature/Silence/Contemplation, but not for Spirituality or Reflection of life. Best predictors of psychological wellbeing (WHO-5) were Spiritual wellbeing, perceived Restrictions and Awe/Gratitude (R2 =.32). Mediation analyses (R2 = 0.51) revealed a mediation effect of Awe/Gratitude between spiritual to psychological wellbeing (β = 0.11, p < 0.0001). Perceived changes were less relevant to buffer the negative effects of the pandemic; instead, they were related to fears of future. More relevant to stabilize SDAs´ wellbeing was their spirituality. [ABSTRACT FROM AUTHOR]

Nudging users to keep them secure online has become a growing research field in cybersecurity. While existing approaches are mainly blackbox based, showing aggregated visualisations as one-size-fits-all nudges, personalisation turned out promising to enhance the efficacy of nudges within the high variance of users and contexts. This article presents a disaggregated whitebox-based visualisation of critical information as a novel nudge. By segmenting users according to their decision-making and information processing styles, we investigate if the novel nudge is more effective for specific users than a common black-box nudge. Based on existing literature about critical factors in password security, we designed a dynamic radar chart and parallel coordinates as disaggregated visualisations. We evaluated the short-term effectiveness and users' perception of the nudges in a think-aloud prestudy and a representative online evaluation (N=1.012). Our findings suggest that dynamic radar charts present a moderately effective nudge towards stronger passwords regarding short-term efficacy and are appreciated particularly by players of role-playing games. [ABSTRACT FROM AUTHOR]

Meeting lateness—that is, meetings starting past the pre-scheduled time—can be viewed as a disruption to the temporal pacing of work. Previous research in the United States indicates that late meetings produce less optimal outcomes, but empirical insights concerning the extent to which experiences of meeting lateness are similar or different across different cultures remain sparse. While prior work suggests differences in how individuals from different cultures experience time-related phenomena, globalization trends suggest increasing similarities in employees' work experiences, and potentially similar experiences of meeting lateness across different cultural settings. We explore this idea in a cross-cultural study of meeting lateness in China, Germany, Italy, the Netherlands, and the United States. We empirically establish the cross-cultural relevance of meeting lateness and their generally negative outcome. We show how meeting lateness relates to perceptions of impaired meeting processes, meeting outcomes, and group-related attitudes across cultures. We discuss these findings in light of extending meeting science to different cultures as well as contributions to the debate between cross-cultural differences versus globalization tendencies. [ABSTRACT FROM AUTHOR]

Background: For developing effective interventions to promote health literacy in adolescence, differentiated data on the distribution of health literacy levels is required, but still lacking for this age group in many countries. The study aims to measure the distribution of generic health literacy (GHL) among adolescents addressing cognitive, behavioural, communicative and motivational dimensions of GHL. Methods: We conducted a representative nationwide cross-sectional online survey among 14-17-year-olds living in Germany (n = 1,235). Data on GHL were collected from 09.2019- 12.2019 using the "Measurement of Health Literacy Among Adolescents"-Questionnaire (MOHLAA-Q). It was specially developed for this age-group and consists of a total of 29 items in four subscales: A: "Difficulties in Dealing with HealthRelated Information", B: "Health-Related Communication Skills", C: "Attitudes toward One's Own Health & Health Information" and D: "Health-Related Knowledge". We also collected data on socio-demographic factors. Bivariate and multiple logistic regression analyses were carried out. Results: About half of the 14-17-year-olds reported many (8.4%) or some difficulties (42.2%) in dealing with health information. We observed low communication-related skills in 28.1% of adolescents. Regarding the attitude towards their own health and health information, 56.8% of respondents had a rather "partly passive/partly active" attitude and 8.8% had a "passive" attitude. 22.7% of the adolescents had a low level of health-related knowledge. All socio-demographic factors apart from age showed significant differences in each of the scales: by family affluence in all scales, by gender and by educational level in 3 scales and by migration background in 1 scale. Conclusions: The results indicate a need for promoting GHL among adolescents. The differences in the four scales suggest that all dimensions of GHL should be addressed, but also considering socio-demographic factors at the same time. [ABSTRACT FROM AUTHOR]