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BACKGROUND: Effective primary care necessitates follow-up actions by the patient beyond the visit. Prior research suggests room for improvement in patient adherence. OBJECTIVE: This study sought to understand patients views on their primary care visits, the plans generated therein, and their self-reported adherence after 3 months. METHODS: As part of a large multisite cluster randomized pragmatic trial in 3 health care organizations, patients completed 2 surveys-the first within 7 days after the index primary care visit and another 3 months later. For this analysis of secondary outcomes, we combined the results across all study participants to understand patient adherence to care plans. We recorded patient characteristics and survey responses. Cross-tabulation and chi-square statistics were used to examine bivariate associations, adjusting for multiple comparisons when appropriate. We used multivariable logistic regression to assess how patients intention to follow, agreement, and understanding of their plans impacted their plan adherence, allowing for differences in individual characteristics. Qualitative content analysis was conducted to characterize the patients self-reported plans and reasons for adhering (or not) to the plan 3 months later. RESULTS: Of 2555 patients, most selected the top box option (9=definitely agree) that they felt they had a clear plan (n=2011, 78%), agreed with the plan (n=2049, 80%), and intended to follow the plan (n=2108, 83%) discussed with their provider at the primary care visit. The most common elements of the plans reported included reference to exercise (n=359, 14.1%), testing (laboratory, imaging, etc; n=328, 12.8%), diet (n=296, 11.6%), and initiation or adjustment of medications; (n=284, 11.1%). Patients who strongly agreed that they had a clear plan, agreed with the plan, and intended to follow the plan were all more likely to report plan completion 3 months later (P

Background: Teachers play important roles in influencing vaccine uptake decisions and should serve as examples for their students by willingly getting vaccinated. Given the low vaccination rates in this area, it is crucial to explore teachers’ willingness to get vaccinated and emphasize their role in promoting vaccine acceptance. Objective: The main objective of this study was to assess the willingness of teachers to receive the COVID-19 vaccine and its associated factors in Dambi Dollo town. Methods: A school-based cross-sectional study was conducted from February 1 to March 30, 2022. Data were collected using a self-administered questionnaire and analysed with SPSS version 23.0. The dependent variable was willingness to receive the COVID-19 vaccine. Variables that showed an association with the dependent variable in the bivariable analyses at a p-value of 0.25 were entered into a multiple stepwise logistic regression model. A p- value of 0.05 was considered statistically significant in this study’s multivariable analysis to determine the presence of significant association between the dependent and the independent variables. Adjusted Odds ratios, along with the corresponding 95% confidence intervals were used to interpret the findings. Results: A total of 247 teachers participated in this study. About 92% of the teachers in Dambi Dollo town have heard COVID-19 vaccine and 67.2% of them knew that the vaccine can prevent the COVID-19 disease. On the other hand, 51% (95%CI: 44.8, 57.2) of the respondents had good knowledge about the COVID-19 vaccine. From the total 247 participants, 68.4% (95%CI: 62.5, 74.3) were willing to receive the vaccine immediately while the remaining were either not willing or not ready at the time of data collection. Those participants having good knowledge of the vaccine were about six times more willing to get vaccinated (AOR = 5.85, 95%CI: 2.74, 12.47) in comparison with those having poor knowledge. Conclusion: In conclusion, the level of willingness to receive the COVID-19 vaccine among school teachers in Dambi Dollo town was 68.4. Followers of Protestant religion and Muslims were less willing compared with Orthodox Christians while the participants with good knowledge were more willing to be vaccinated. [ABSTRACT FROM AUTHOR]

Background: We assessed the willingness of female students at a Ugandan public university to use long-acting Cabotegravir (CAB-LA) for HIV prevention, given their high prevalence of HIV risk behaviours. Methods: Using an online questionnaire, this cross-sectional study surveyed 346 female undergraduate students aged 18–25. Factors influencing their willingness were analysed with modified Poisson regression and robust standard errors. Results: More than half, 56.7% (95% CI: 51.4 to 61.8), were willing to use CAB-LA. Willingness was significantly associated with being sexually active in the past 3 months, using alcohol in the past 6 months, or being in the 4th year of study compared to the 1st year. Conclusion: Educational initiatives on innovative HIV prevention strategies, such as CAB-LA, should be introduced early in university students' studies to increase awareness and acceptance. [ABSTRACT FROM AUTHOR]

Background: Men's involvement in and support for women's decision-making concerning human papillomavirus (HPV) vaccination is crucial. However, the support provided by men to promote HPV vaccination among women, as a crucial part of intimate relationships has received limited attention. This study examined the behaviors and willingness of young Chinese adult men to support HPV vaccination in women and explored potential factors influencing supportive behaviors and willingness. Methods: From December 2020 to January 2021, a cross-sectional study was conducted among 1014 young men from eight universities in Zhejiang Province, China. The survey questionnaire assessed behaviors and willingness to support HPV vaccination, HPV-related knowledge, information seeking for male HPV vaccination, attitudes toward women's vaccination benefits, and sociodemographic variables. Multivariable logistic regression analyses adjusting for all covariates were used to identify factors associated with supportive behaviors and willingness. Results: Only 48.4% of respondents reported having acquired and shared information about HPV vaccination with loved ones, whereas 41.3% recommended HPV vaccination. Approximately 80% of the participants without supportive behaviors reported a willingness to support the vaccination. Positive attitudes toward the benefits of women's HPV vaccination, active seeking of information on male HPV vaccination, and relevant sociodemographic and health-related variables were associated with vaccination-supportive behaviors or willingness. Conclusions: Young men expressed a relatively low level of support for female HPV vaccination. Promoting active information seeking regarding HPV vaccination among men and emphasizing the benefits of HPV vaccination for women could potentially foster more supportive behaviors. Targeted health education should include men to promote their involvement in shared decision-making regarding female HPV vaccinations. [ABSTRACT FROM AUTHOR]

Background/Objectives: COVID-19 has significantly impacted lives, and data show that receiving a booster vaccination has been demonstrated to lower the spread of COVID-19 and reduce the severity of the risk of infection. The Saudi government has actively promoted booster dose vaccines among university students who can spread the virus to older populations, especially in high-density environments, where the risk of virus transmission and spread is elevated. This study focuses on the acceptance of COVID-19 booster shots among students at Imam Abdulrahman bin Faisal University. The study assessed students' willingness to receive a COVID-19 booster dose and the factors influencing their decision. Methods: A descriptive, cross-sectional study design using an online self-administered survey was conducted among medical and non-medical students at Imam Abdulrahman bin Faisal University. A convenience sampling technique was used to recruit participants via email and social media platforms (WhatsApp version 2.3). Quantitative analysis was performed using IBM SPSS version 28.0. using descriptive statistics. Logistic regression analysis was used to predict factors affecting COVID-19 booster dose acceptance and hesitancy. Results: Among 315 respondents, 171 (54.3%) were males, and 144 (45.7%) were females. All the respondents fell in the 18–25 years age group. About 173 (54.9%) respondents were from health-related colleges. Overall, 24.44% (77/315) agreed to get a COVID-19 vaccine booster dose. However, 77.14% (243/315) were confident of getting the vaccine whenever they wanted. About 48.88% (154/315) of respondents considered COVID-19 a serious severe infection, while 14.06% (46/315) of respondents were concerned about the probability of receiving COVID-19 immunization (World Health Organization, 2021). Conclusions: The study revealed that students were not accepting COVID-19 booster doses, highlighting the need for awareness campaigns to dispel myths and improve vaccination rates. [ABSTRACT FROM AUTHOR]

We construct and test a conceptual framework that extends the five‐step financial help‐seeking model (Grable and Joo, J Financ Couns Plann, 1999, 10, 14–25) by incorporating different trust dimensions and financial adviser anxiety to examine how internal factors influence willingness to seek financial advice. Using structural equation modeling and a sample of 1297 Australian adults, we find willingness is mostly driven by narrow‐scope trust and, to a lesser extent, by future time perspective and an indirect effect of system trust (through narrow‐scope trust). However, we do not find evidence to suggest that financial adviser anxiety is associated with financial advice‐seeking willingness or narrow‐scope trust. Our results suggest factors that policymakers can target to increase consumer advice‐seeking willingness to help increase the uptake of financial advice when needed and available. [ABSTRACT FROM AUTHOR]

Integrate the traditional Theory of Planned Behavior (TPB) and Technology Acceptance Model (TAM) to build an empirical research model on the relationship between perceived behavioral control, intelligent facilities, facility convenience, incentive measures, and willingness and behavior of garbage classification. Conduct a questionnaire survey on the willingness and behavior of garbage classification among college students in Nanchang City, and use structural equation modeling to explore the key factors influencing college students' garbage classification.Combine ideological and political education with course content, and implement teaching reform in embedded artificial intelligence professional courses. Guide students to practice using lightweight visual model deployment technology to improve garbage classification assistance and human-computer interaction performance in homework and other links, thus achieving the dual goal of teaching and ideological and political education. The research results show that perceived behavioral control, facility convenience, and incentive measures have a significant positive impact on willingness of garbage classification, and perceived behavioral control is the main key factor. And the positive impact of intelligent facilities on garbage classification, and ensure the sustainable development of the ecological environment by strengthening situational motivation, building interactive robot lectures, establishing green carbon accounts to offset practical credits and incorporating the evaluation system for excellence and advancement, as well as professional course content development. [ABSTRACT FROM AUTHOR]

Background: Anatomy is a basic fundamental subject of medical science. Cadaveric dissection is an essential part of the anatomy teaching-learning process to provide detailed in-depth knowledge about the structural organization of organs in human the body to medical students. Human cadavers are mainly obtained by the body donation program, but the rate of body donation is not adequate in various parts of the country. Aims and Objectives: This study was conducted to assess the attitude toward body donation among the non-medical support staffs in a tertiary health care setup in Eastern India. Materials and Methods: After ethical approval was obtained, a face-to-face interview was conducted among 151 nonmedical support staffs using a structured questionnaire. The data were analyzed using Microsoft Excel and Epicollect5 software. Results: This study revealed that 44.37% of the participants were willing to donate their bodies for medical science after their death. The willingness was relatively higher among the male population, with urban residence, higher education level, and higher income group. The main motivation toward body donation was to help society by helping medical science. The main reason behind unwillingness was being uncomfortable about donating own body. Conclusion: Target-oriented awareness program could be conducted to increase motivation toward body donation. Publicly acknowledging the body donors and showing respect to the cadaver and donor family might increase willingness toward body donation. [ABSTRACT FROM AUTHOR]

Introduction: Blood donation is crucial for certain populations, such as pregnant mothers, anemic patients, traumatized patients, and individuals undergoing surgery. The imbalance between the number of blood donors and the demand for blood in Ethiopia is a serious public health concern. Having a favorable attitude towards blood donation could aid in correcting this imbalance. Therefore, this study aimed to assess the proportion of favorable attitudes, types of blood donation, willingness, and feelings towards blood donation in Ethiopia. Methods: Several databases were searched to retrieve the available articles. Heterogeneity and publication bias were assessed using the Galbraith plot with Cochrane I2 statistics and funnel plot with Egger's test, respectively. Subgroup analysis was done to identify the cause of the substantial heterogeneity. Result: The pooled prevalence of favorable attitudes about blood donation was 65.28% (60.10–70.47). A higher prevalence was reported among studies conducted after 2020, in Northern Ethiopia and among health care professionals: 72.66%, 68.45%, and 69.41%, respectively. The percentages of people who had good feelings, willing to donate, and encouraged others to donate are 83.99%, 74.23%, and 77.96%, respectively. Conversely, 42.84% of participants believe that risk will happen following donation. There was an association between knowledge and attitude towards blood donation (AOR = 1.76; 95% CI: 1.48–2.99). Conclusion: The findings of this study may imply the preparation of a blood donation campaign that helps the community. Concerned bodies from governmental and non-governmental organizations may arrange and design community education, which may increase the number of voluntary donors. [ABSTRACT FROM AUTHOR]

Background: Telemedicine became a fundamental part of healthcare provision during COVID-19 pandemic. An evaluation of telemedicine-associated satisfaction helps the service develop more viable applications. This review evaluated the satisfaction of healthcare users and providers and their willingness to use this modality in future. Methods: The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A search on empirical articles published between March 2020 and December 2022 was performed on 'PubMed' and 'Scopus' databases. Findings that reported on satisfaction of patients, families and caregivers as well as clinicians were extracted and analysed. Quality of included studies was assessed. After applying inclusion and exclusion criteria, the review included 27 eligible studies. Results: Data was found from a variety of emergency and non-emergency departments of primary, secondary, and specialised healthcare. Almost all studies were undertaken within the NHS. There were many tools that measured satisfaction. Satisfaction was high among recipients of healthcare, scoring 9–10 on a scale of 0–10 or ranging from 73.3% to 100%. Convenience was rated high in every specialty examined. Satisfaction of clinicians was high throughout the specialities despite connection failure and concerns about confidentiality of information. Nonetheless, studies reported perception of increased barriers to accessing care and inequalities for vulnerable patients especially in older people. In general, willingness to use telemedicine in future was high in the recipients as well as the providers of healthcare. Conclusion: COVID-19 pandemic has transformed healthcare in the UK and promoted a revolution in telemedicine applications. Satisfaction was high among both recipient and provider of healthcare. Telemedicine managed to provide a continued care throughout the pandemic while maintaining social distance. The current review presented commendable evidence to encourage different specialities to engage in telemedicine application. [ABSTRACT FROM AUTHOR]

Ferries are crucial for the transportation of passengers in coastal areas, offering multi-route, high-frequency, and point-to-point services at a lower cost than bridges or tunnels. Recently, many countries have been advocating for autonomous ferries due to their eco-friendliness and potential to mitigate accidents that often occur on traditional manned ferries due to human error. However, the public's acceptance of autonomous transport systems is frequently influenced by scientific evidence that supports their practical applications. This study endeavours to scrutinise the social acceptance of autonomous ferries from the passenger's perspective, employing the perceived value theory. A total of 151 responses have been collated from our questionnaire, aiming to investigate the public's acceptance of autonomous ferries, and to obtain the users' opinions on key influential dimensions such as the perceived price, quality, value, risk, and willingness to use an autonomous ferry. Structural equation modelling (SEM) has been employed to examine the relationship among these dimensions. The findings reveal that the perceived price and quality have a positive effect on the perceived value, which, in turn, has an indirect effect on the willingness to use autonomous ferries. The conjecture that the perceived risk influences the perceived value and willingness to use autonomous ferries is fully supported by our findings. Building on the findings of this research, this study offers specific recommendations to industry operators and government authorities to guide policy formulation and operational decision-making in the development of autonomous ferry. • Explores passenger willingness to use autonomous ferries. • Identifies key social factors influencing the acceptance of autonomous ferry services. • Provides insights into the public perception of autonomous ferry transportation. • Contributes to the understanding of technology acceptance in urban transport systems. • Offers recommendations for enhancing the public's trust in autonomous ferry services. [ABSTRACT FROM AUTHOR]

One of the major challenges in initiating development of a specific destination in tourism is the rate of participation of the local residents. The current paper attempted to study the willingness of the local community to participate in ecotourism development of Reiek, Mizoram. To study the objective, the researchers focused exclusively on the individuals residing in Reiek. A simple random sampling method was employed to choose 377 respondents from the local community. The findings revealed that the community's willingness to participate in ecotourism development was positive and supportive. However, no conclusive evidences were found to say that demographic variables of the respondents influenced their willingness to participate in ecotourism development of Reiek. Relevant discussions on policies, such as the significance of participation of human beings in ecotourism development could also be based on this study. Lastly, the current study is expected to help scholars, policy makers, and practitioners to carry out research in this direction to address various issues usually dominant in the field of ecotourism. [ABSTRACT FROM AUTHOR]

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Background and Aims: Organ donation is the last option for patients with end‐stage organ failure, but the number of people in need of transplantation outweighs the supply of donor organs. A thorough analysis of public understanding is required to design educational programs that increase public commitment to organ donation. Therefore, the present study aimed to explore Bangladeshi adults' understanding, attitudes, and willingness towards organ donation, while also investigating the sources of information, gender‐specific knowledge, intentions, and the factors influencing their decisions. Methods: A cross‐sectional survey was conducted between October 15 and November 25, 2021, using a non‐probability convenience sampling technique. Data were analysed using both descriptive and inferential statistics. Results: Among 592 participants, only 35.8% were knowledgeable about organ donation. Internet/online sources were the most reported source of knowledge (37.8%), followed by social media (36%). Despite having limited knowledge, 63.7% had a positive attitude, with females demonstrating a more positive attitude than males (β = 0.09, p = 0.024). Males were significantly more likely than females to follow Bangladesh's specific organ donation laws (29.3% vs. 25%, p = 0.004). Besides, 48.6% of females, compared to 40.4% of males, believe that the health service related to organ donation in Bangladesh is ineffective (p = 0.016). More than one‐third (35.1%) of the participants indicated a willingness to donate their organs after death. The participants' significant barriers to organ donation were found to be family objections (40.4%), health complications (34.4%), fear of disfigurement (31.1%), and religious barriers (26.8%). Conclusion: Although Bangladeshi adults have a positive attitude regarding organ donation, they lack adequate knowledge, which renders them unlikely to be eager to donate organs. Therefore, it is crucial to update policy within a sociocultural framework to boost organ donation for transplantation. National education campaigns and awareness‐raising events should be held in Bangladesh to increase public knowledge of organ donation and transplants. [ABSTRACT FROM AUTHOR]

Using data from China's 2017 national household survey, we examine the effect of psychological distance on Chinese farmers' willingness to make financing choices. Our empirical results show that psychological distance has a statistically significant impact on farmers' choice of finance. A close psychological distance increases farmers' willingness to choose financial institutions by activating low-level construal representation. Fintech plays an intermediary role. The psychological distance between farmers and financial institutions affects farmers' financing choices and is mediated by fintech. Our study offers the micro-level proof of the relationship between psychological distance and Chinese farmers' financing preferences. [ABSTRACT FROM AUTHOR]

Introduction: Unused and/or expired pharmaceuticals stored in households are potential health and environment hazards that require safe disposal. In Eritrea, there has not been a proper household medicines disposal system and pharmaceutical wastes had been disposed of irrationally. The study was therefore conducted to assess community's understanding and disposal practices of unused/expired medications and willingness to participate in a household medicines take-back system. Methods: A cross-sectional study was conducted from January to February 2023 in randomly selected households of Asmara. The study participants were selected using a multi-stage-cluster sampling. Data, collected through face-to-face interview using a structured questionnaire, were double entered using CSPro version 7.3 software package and analyzed using SPSS version 26. Results: A total of 327 participants were enrolled in the study with a predominance of female respondents (84%). The most commonly used disposal practices were throwing with household garbage (65.6%), followed by dumping under soil (38.7%) and flushing down the toilet/sink (15.2%). Around three-quarters (70.5%) of the households had unused/expired medicines stored at home during the data collection period with intention to use being the most common reason for storage (83.9%). Analgesics and anti-infectives were the most commonly stored classes of medicines, and more than half of the anti-infectives were stored for future use. The mean knowledge score of participants was 7.31/11 (95% CI: 7.09– 7.52). Moreover, participants had a satisfactory willingness to participate in a household medicines take-back system, with a mean attitude score of 16.89/20 (95% CI: 16.45– 17.29). Lack of awareness, negligence, time/health constraints, fear of accountability/stigma, accessibility and reluctance were reported as possible challenges in establishing a household medicines take-back system. Conclusion: Unnecessary storage and improper disposal of household unused/expired medicines along with inadequate knowledge on disposal mechanisms were common in households of Asmara. Hence, public education on proper disposal as well as coordinated efforts for the establishment of safe disposal mechanisms are recommended. [ABSTRACT FROM AUTHOR]

As the global trend for healthy eating grows, firms are emphasising dairy functional foods (DFFs). This study looks into the relationship between consumer attitudes and readiness to consume DFFs, taking into account how a healthy lifestyle might both motivate and deter people from using them. Hungary was chosen because consumer behaviour towards functional foods is under-researched in comparison to Western Europe. Data were generated using a survey questionnaire from 313 respondents. The results of Partial Least Squares (PLS) analysis revealed that consumer attitudes had a considerable influence on the desire to consume DFFs. Furthermore, the motivators and barriers had a direct influence on willingness through the consumer attitudes that serve as mediators. These findings show the need for targeting consumer attitudes and lifestyle characteristics in order to increase the market acceptance of DFFs. [ABSTRACT FROM AUTHOR]

Abstract Background Teachers play important roles in influencing vaccine uptake decisions and should serve as examples for their students by willingly getting vaccinated. Given the low vaccination rates in this area, it is crucial to explore teachers’ willingness to get vaccinated and emphasize their role in promoting vaccine acceptance. Objective The main objective of this study was to assess the willingness of teachers to receive the COVID-19 vaccine and its associated factors in Dambi Dollo town. Methods A school-based cross-sectional study was conducted from February 1 to March 30, 2022. Data were collected using a self-administered questionnaire and analysed with SPSS version 23.0. The dependent variable was willingness to receive the COVID-19 vaccine. Variables that showed an association with the dependent variable in the bivariable analyses at a p-value of 0.25 were entered into a multiple stepwise logistic regression model. A p- value of 0.05 was considered statistically significant in this study’s multivariable analysis to determine the presence of significant association between the dependent and the independent variables. Adjusted Odds ratios, along with the corresponding 95% confidence intervals were used to interpret the findings. Results A total of 247 teachers participated in this study. About 92% of the teachers in Dambi Dollo town have heard COVID-19 vaccine and 67.2% of them knew that the vaccine can prevent the COVID-19 disease. On the other hand, 51% (95%CI: 44.8, 57.2) of the respondents had good knowledge about the COVID-19 vaccine. From the total 247 participants, 68.4% (95%CI: 62.5, 74.3) were willing to receive the vaccine immediately while the remaining were either not willing or not ready at the time of data collection. Those participants having good knowledge of the vaccine were about six times more willing to get vaccinated (AOR = 5.85, 95%CI: 2.74, 12.47) in comparison with those having poor knowledge. Conclusion In conclusion, the level of willingness to receive the COVID-19 vaccine among school teachers in Dambi Dollo town was 68.4. Followers of Protestant religion and Muslims were less willing compared with Orthodox Christians while the participants with good knowledge were more willing to be vaccinated.

Abstract Background We assessed the willingness of female students at a Ugandan public university to use long-acting Cabotegravir (CAB-LA) for HIV prevention, given their high prevalence of HIV risk behaviours. Methods Using an online questionnaire, this cross-sectional study surveyed 346 female undergraduate students aged 18–25. Factors influencing their willingness were analysed with modified Poisson regression and robust standard errors. Results More than half, 56.7% (95% CI: 51.4 to 61.8), were willing to use CAB-LA. Willingness was significantly associated with being sexually active in the past 3 months, using alcohol in the past 6 months, or being in the 4th year of study compared to the 1st year. Conclusion Educational initiatives on innovative HIV prevention strategies, such as CAB-LA, should be introduced early in university students’ studies to increase awareness and acceptance.

Abstract Background Men’s involvement in and support for women’s decision-making concerning human papillomavirus (HPV) vaccination is crucial. However, the support provided by men to promote HPV vaccination among women, as a crucial part of intimate relationships has received limited attention. This study examined the behaviors and willingness of young Chinese adult men to support HPV vaccination in women and explored potential factors influencing supportive behaviors and willingness. Methods From December 2020 to January 2021, a cross-sectional study was conducted among 1014 young men from eight universities in Zhejiang Province, China. The survey questionnaire assessed behaviors and willingness to support HPV vaccination, HPV-related knowledge, information seeking for male HPV vaccination, attitudes toward women’s vaccination benefits, and sociodemographic variables. Multivariable logistic regression analyses adjusting for all covariates were used to identify factors associated with supportive behaviors and willingness. Results Only 48.4% of respondents reported having acquired and shared information about HPV vaccination with loved ones, whereas 41.3% recommended HPV vaccination. Approximately 80% of the participants without supportive behaviors reported a willingness to support the vaccination. Positive attitudes toward the benefits of women’s HPV vaccination, active seeking of information on male HPV vaccination, and relevant sociodemographic and health-related variables were associated with vaccination-supportive behaviors or willingness. Conclusions Young men expressed a relatively low level of support for female HPV vaccination. Promoting active information seeking regarding HPV vaccination among men and emphasizing the benefits of HPV vaccination for women could potentially foster more supportive behaviors. Targeted health education should include men to promote their involvement in shared decision-making regarding female HPV vaccinations.

Background: Organ transplantation is becoming increasingly common and established as the preferred treatment for individuals with end-stage organ failure. The global organ transplantation demand–supply gap is greater in Southeast Asia and more so, in India. This study aims to uncover the underlying factors contributing to the disparity between the awareness and willingness for organ transplantation. First-year students possess the potential to function as catalysts for change in their families and society about organ donation, due to their influential role in shaping the future society. Objective: The objective of this study was to evaluate the level of knowledge, attitude, and willingness toward organ donation among first-year students from various fields and to find out their relationship with specific sociodemographic factors. Materials and Methods: The study employed a cross-sectional observational design and included 762 first-year students from several colleges in Eastern India, studying disciplines such as medicine, nursing, engineering, and business. Using Google Forms, a validated and predesigned questionnaire was developed and then sent to participants sharing the QR code. The analysis was conducted using SPSS version 20.0. Results: Among the 762 participants, while 68.6% had a satisfactory to excellent understanding of organ donation, just 5.9% had a positive attitude toward it. Furthermore, if called upon, 21.4% said they would be willing to donate organs. A statistically significant correlation was seen between knowledge, attitude, and the willingness to donate organs. Conclusions: Multiple factors exert influence on organ donation, encompassing elements such as information, cultural views, and individual motivation. Comprehending these components is crucial for developing efficient strategies to promote organ donation.

Background: Vaccines against human papillomaviruses (HPVs) can prevent infection and lower the risk of cervical cancer in women. Purpose: The purpose of the study was to assess parents’ awareness level and hesitancy toward HPV vaccination of their children. Methods: This cross-sectional study recruited Saudi parents who visited Maternity and Children Hospitals, Makkah, Saudi Arabia. Results: A total of 591 parents were enrolled. About 49% of the parents have not heard about HPV before. Only 34% and 39.4% knew that HPV causes cervical cancer and that vaccination protects against cervical cancer, respectively. About one-third (30.3%) reported that they knew that HPV vaccine can be offered to female children 9 years old and above, and 80.2% had poor awareness level of the HPV. For those not planning to give their children the vaccination, the most reported reasons included lack of knowledge about the vaccine (40.7%) and not being recommended by medical staff (17.3%). The most reported source of information was social media (21.3%). Only 7% of parents vaccinated their children, and 55% planned to do so. Poor awareness was significantly associated with older age (P = 0.001), fathers (P = 0.002), having partially vaccinated children (P = 0.001), and the internet as an information source (P = 0.001). Conclusion: The parents’ awareness level is poor regarding HPV infection and vaccination. The rate of children’s vaccination is very low. The identified causes of hesitancy should be targeted in future projects to increase vaccine coverage. Social media and the Internet can be utilized to disseminate reliable information about HPV and its vaccine to a large group of audience.

Aim: Today, vaccine hesitancy is one of the top 10 global health threats, which hinders adequate immunization coverage and herd immunity. The most recent global event that has led to a surge in vaccine hesitancy is the COVID-19 pandemic. COVID-19 vaccines have been studied extensively, but a sizable number of people continue to have misgivings towards COVID-19 vaccines. Materials and Methods: We performed a cross-sectional survey among adults across Tamil Nadu, India, to measure the frequency of vaccine hesitancy and to understand the factors contributing to it. Results: In our study population (n=1622), 49% were unwilling to get vaccinated. Hesitancy was higher among males when compared to females (54% vs. 41%) and among the older population when compared to the younger population (58% vs. 43%). The most preferred information sources regarding COVID-19 vaccines were television (38%), social media (25%), and newspapers (16%). Among the various social media platforms, WhatsApp was the most popular (33%), and Twitter was the least popular (2%). Half the population (52%) felt that herbal supplements were sufficient to provide immunity against COVID-19. The most common reason for hesitancy towards COVID-19 vaccination was the perception that the vaccine was not safe enough (52%). Conclusion: Our study shows that even after sufficient time had passed since the start of the pandemic, vaccine hesitancy in a progressive state such as Tamil Nadu was disturbingly high. This warrants the need for more efforts to educate the public about the necessity of vaccines.

Background: Anatomy is a basic fundamental subject of medical science. Cadaveric dissection is an essential part of the anatomy teaching-learning process to provide detailed in-depth knowledge about the structural organization of organs in human the body to medical students. Human cadavers are mainly obtained by the body donation program, but the rate of body donation is not adequate in various parts of the country. Aims and Objectives: This study was conducted to assess the attitude toward body donation among the non-medical support staffs in a tertiary health care setup in Eastern India. Materials and Methods: After ethical approval was obtained, a face-to-face interview was conducted among 151 non-medical support staffs using a structured questionnaire. The data were analyzed using Microsoft Excel and Epicollect5 software. Results: This study revealed that 44.37% of the participants were willing to donate their bodies for medical science after their death. The willingness was relatively higher among the male population, with urban residence, higher education level, and higher income group. The main motivation toward body donation was to help society by helping medical science. The main reason behind unwillingness was being uncomfortable about donating own body. Conclusion: Target-oriented awareness program could be conducted to increase motivation toward body donation. Publicly acknowledging the body donors and showing respect to the cadaver and donor family might increase willingness toward body donation.

Background: The aim of this study is to evaluate the validity and reliability of the Food Craving Acceptance and Action Questionnaire (FAAQ) in university students. Methods: The study included 394 undergraduate students at Ankara Yıldırım Beyazıt University. The study included individuals who volunteered to participate, were at least 18 years old, and did not have any severe psychological issues. Explanatory and confirmatory factor analyses of the scale were conducted by dividing the data set into two groups. Cronbach’s α coefficient was analyzed and a test-retest was conducted with 94 students. Results: It was determined that the Food Craving Acceptance and Action Questionnaire had 2 factors (acceptance and willingness). The fit values of the scale were found to be CMIN/df=2.26; GFI=0.92; AGFI=0.87; CFI=0.85; RMSEA=0.08. The acceptance, willingness subscales and total Cronbach α coefficients of the scale were 0.761, 0.716 and 0.761, respectively. Intraclass correlation coefficient (ICC) values were 0.84, 0.81 and 0.80 for acceptance, willingness and total scale score, respectively. Statistically significant negative correlations were found between the ‘acceptance’, ‘willingness’ subscale and total DEBQ, FCQ-T scores, subscale scores and mYFAS 2.0 symptom count (P

Najib Isse Dirie,1 Maryan Abdullahi Sh Nur,2 Abdirahman Khalif Mohamud,3 Bashiru Garba,4,5 Hassan Abdullahi Dahie,6 Mohamed Hussein Adam,4 Jamal Hassan Mohamoud4 1Department of Urology, Dr Sumait Hospital, Faculty of Medicine, and Health Sciences, SIMAD University, Mogadishu, Somalia; 2Department of Obstetrics and Gynecology, Dr Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia; 3Faculty of Medicine, and Health Science, SIMAD University, Mogadishu, Somalia; 4Department of Public Health, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia; 5Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, Usmanu Danfodiyo University, Sokoto, SK, Nigeria; 6Nursing and Midwifery Department, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, 2526, SomaliaCorrespondence: Maryan Abdullahi Sh Nur, Email dr.maryan.abdullahi@gmail.comBackground: Pregnant women exhibit COVID-19 vaccine hesitancy due to concerns regarding potential risks to their babies, doubts about vaccine efficacy, and limited access to information. Therefore, this study aims to estimate COVID-19 vaccine uptake and factors associated with pregnant women in Mogadishu, Somalia.Methods: A cross-sectional study was conducted on pregnant women using a questionnaire covering socio-demographic information, pregnancy-related characteristics, perceptions about the COVID-19 vaccine, and vaccination status. Univariable and multivariable logistic regression analyses were utilized to identify factors associated with the outcome variable.Results: Among the 400 pregnant women who participated in this study, 26.8% had received a COVID-19 vaccine dose, with only 14.9% receiving it during pregnancy. Reasons for not receiving the vaccine included a lack of information about the vaccine (47.4%), concerns about its adverse effects on personal health (33.8%), misconceptions regarding impacts on fertility or menstrual cycles (14.3%), belief in the vaccine’s inefficacy (3.4%), and fears about adverse effects on their fetus. In multivariable logistic regression, pregnant women with a history of chronic diseases (AOR=3.27, 95% CI=1.992– 6.145), those who perceived themselves at risk of contracting COVID-19 (AOR=3.81, 95% CI=2.11– 5.10), those who believed that the vaccine was accessible to them (AOR=4.34, 95% CI=2.915– 6.165), and those who discussed the COVID-19 vaccine with their healthcare provider (AOR=3.91, 95% CI=2.123– 7.878) were more likely to receive the COVID-19 vaccine compared to their counterparts.Conclusion: Pregnant women in Mogadishu, Somalia, face challenges with sub-optimal covid-19 vaccine uptake. Implementations should improve awareness of COVID-19 risks and facilitate discussions between healthcare providers and pregnant women. In addition, efforts to provide reliable information about the vaccine, alleviate concerns about its adverse effects, and dispel misconceptions about fertility, menstrual cycles, efficacy, and foetal impact are crucial.Keywords: COVID-19 vaccine uptake, willingness, hesitancy and acceptance, factors associated, pregnant women, Mogadishu, Somalia

Abstract Background Even though the disease has spread throughout the world, with millions killed, global COVID-19 vaccination coverage remains low, particularly in developing countries. However, epidemiological data is lacking in the area. Hence, this study aimed to assess COVID-19 uptake, willingness for vaccination, and associated factors. Method A hospital-based cross-sectional study was conducted from May 1 to June 30, 2022, among patients attending chronic follow-up clinics in the two comprehensive specialized hospitals in Bahir Dar. The total sample size was 423. Participants were selected by a systematic random sampling technique. Data was gathered using a pre-tested questionnaire and analyzed using SPSS version 23. A descriptive analysis was performed. A binary logistic regression analysis was done to assess the association between variables. Variables with a p-value

Abstract Background Global population aging poses a significant global challenge, necessitating an increased demand for proficient caregivers specialized in elderly care. In our study, a systematic review and meta-analysis were conducted to synthesize the evidence concerning nursing students’ willingness to participate in caring for older people. Methods Eligibility criteria focused on cross-sectional studies involving nursing students’ willingness to participate in caring for older people and were reported in English or Chinese. PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), and WANFANG databases were searched from inception until July 24, 2022. The methodological quality assessment in the included studies was evaluated using the AHRQ instrument. The pooled effects of the nursing students’ willingness to participate in caring for older people were computed using a random-effects model. Funnel plots and Egger’s test were employed to evaluate publication bias. Meta-regression and subgroup analysis were performed to explore the sources of heterogeneity. Sensitivity analysis was conducted to verify the robustness of the meta-analysis findings. All statistical tests were conducted with Stata 16.0 software. Results A total of 68 studies of medium or high quality met the eligibility criteria, involving 30,328 nursing students. The rate of nursing students’ willingness to participate in caring for older people was 49.0% (95% CI = 46–53%, I 2 = 98.1%, P = 0.000). The results of meta-regression analysis showed that the following four predictor variables were significantly associated with nursing students’ willingness to participate in caring for older people: experience of living with and caring for older people, nursing as their first choice and their year-level in education, respectively. Subgroup analyses for these four predictor variables revealed the following pooled estimates of nursing students’ willingness: having experience of living with older people (0.54, 95% CI = 0.46–0.62) vs. no such experience (0.38, 95% CI = 0.30–0.46), having experience of caring for older people (0.55, 95% CI = 0.48–0.63) vs. no such experience (0.38, 95% CI = 0.30–0.46), nursing as their first choice (0.54, 95% CI = 0.51–0.58) vs. not their first choice (0.44, 95% CI = 0.35–0.53), being in the first year of nursing education (0.44, 95% CI = 0.34–0.55), second year (0.45, 95% CI = 0.34–0.56), and third and fourth year (0.62, 95% CI = 0.53–0.71). Conclusion The study found that approximately half of the nursing students confirmed their willingness to participate in caring for older people.The present study can serve as a resource for policymakers to increase the willingness of nursing students to participate in caring for older people.

Background: The coronavirus disease 2019 (COVID-19) vaccination program among adults in India is one of the highly successful vaccination drives globally, but the acceptance of the COVID-19 vaccine among parents for their children is largely unknown. As parents are primary decision-makers for their children, we aimed to assess parents’ perceptions and acceptance for COVID-19 vaccination for children in India. AIM: To assess parental perceptions and acceptance for COVID-19 vaccination for their children (aged

Introduction: Currently, mortality by non-communicable diseases is increasing alarmingly. They account for approximately 35 million deaths each year, of which 14% are due to cardiovascular disease and 9.2% occur in Africa. Patients do not have access to healthcare services outside the healthcare setting, resulting in missed follow-ups and appointments and adverse outcomes. This study aimed to assess the willingness to use remote monitoring among cardiovascular patients in a resource-limited setting in Ethiopia. Method: An institution-based cross-sectional study was conducted from April to June 2021 among cardiovascular patients at referral hospitals in Ethiopia. A structured interview questionnaire was used to collect the data. A systematic random sampling technique was used to select 397 study participants. Binary and multivariable logistic regression analyses were employed and a 95% confidence level with a p-value <0.05 was used to determine the level of association between variables. Result: In total, 81.61% of the study participants were willing to use remote patient monitoring [95% confidence interval (CI) = 77.4%-85.1%]. Age [adjusted odds ratio (AOR) = 0.94; 95% CI: 0.90-0.98], having a mobile phone (AOR = 5.70; 95% CI: 1.86-17.22), and perceived usefulness (AOR = 1.50; 95% CI: 1.18-1.82) were significantly associated with willingness to use remote patient monitoring among cardiovascular patients. Conclusion: Cardiovascular patients had a high willingness to use remote patient monitoring. Age, perceived usefulness of remote patient monitoring, and having a mobile phone were significantly associated with a willingness to use remote patient monitoring. [ABSTRACT FROM AUTHOR]

Background: Organ transplantation is becoming increasingly common and established as the preferred treatment for individuals with end-stage organ failure. The global organ transplantation demand–supply gap is greater in Southeast Asia and more so, in India. This study aims to uncover the underlying factors contributing to the disparity between the awareness and willingness for organ transplantation. First-year students possess the potential to function as catalysts for change in their families and society about organ donation, due to their influential role in shaping the future society. Objective: The objective of this study was to evaluate the level of knowledge, attitude, and willingness toward organ donation among first-year students from various fields and to find out their relationship with specific sociodemographic factors. Materials and Methods: The study employed a cross-sectional observational design and included 762 first-year students from several colleges in Eastern India, studying disciplines such as medicine, nursing, engineering, and business. Using Google Forms, a validated and predesigned questionnaire was developed and then sent to participants sharing the QR code. The analysis was conducted using SPSS version 20.0. Results: Among the 762 participants, while 68.6% had a satisfactory to excellent understanding of organ donation, just 5.9% had a positive attitude toward it. Furthermore, if called upon, 21.4% said they would be willing to donate organs. A statistically significant correlation was seen between knowledge, attitude, and the willingness to donate organs. Conclusions: Multiple factors exert influence on organ donation, encompassing elements such as information, cultural views, and individual motivation. Comprehending these components is crucial for developing efficient strategies to promote organ donation. [ABSTRACT FROM AUTHOR]

Context: There are limited data in India, even more so in Manipur when it comes to assessing the willingness to participate in biomedical research despite numerous ongoing research being conducted. This study will throw light on the willingness of the general population who we oftentimes ask to participate in biomedical research. Aim: To assess the willingness to participate in biomedical research among the adult population of Bishnupur district, Manipur. Settings and Design: A cross-sectional study was conducted among adults in Bishnupur district, Manipur during March 2023 Methods and Material: Participants were selected using multistage random sampling with proportional allocation. Data were collected by interviewing the participants using pretested structured questionnaire. Statistical analysis used: Descriptive statistics like mean with standard deviation and percentage were used. Chisquare test, Fisher Exact test and logistic regression were employed. Results: There were 448 participants with mean age 42.71±13.74 years. Ninety-two percent previously participated in any form of biomedical research. Participants willing to participate in any biomedical research was 76.1%. Majority of respondents were willing to undergo physical examinations. Risk issuewas the main reason for those not willing to participate. Those who had previous history of participation were ten times more likely to participate than those who had no previous participation in biomedical research. Conclusions: The study showed that three-fourth of the general adult population in Bishnupur were willing to participate in any biomedical research. [ABSTRACT FROM AUTHOR]

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This study investigates the impact of connectivism on knowledge acquisition and the willingness of higher education students to apply that knowledge in practical settings. Using an experimental design, it investigates how connectivism manifests in learning processes, particularly focusing on a collaborative online international session (COIL) with 92 business management students from the UAE and South Korea. These students participated in a COIL session aimed at enhancing their understanding of diversity and inclusion management concepts. The study utilized an independent t-test to evaluate the effectiveness of COIL, comparing groups exposed to different modes of participation (connectivism mode and nonconnectivism mode). The results highlight connectivism's role in increasing students' willingness to utilize acquired knowledge. As a connectivism approach, COIL proves pivotal in applying learning practically. This research offers significant insights for curriculum designers, educators, and scholars, demonstrating the impact of social connectivism on learning enhancement. It provides valuable information for incorporating connectivism into traditional educational models, thereby enriching the theoretical and methodological understanding of the relationship between connectivism, COIL, knowledge acquisition, and application willingness. This study is particularly relevant for educators looking to integrate innovative methods in their teaching and expand the scope of knowledge and skill development for future work. [ABSTRACT FROM AUTHOR]

Solar energy is increasing in popularity as a renewable energy source, which reduces greenhouse gas emissions. Even though many governments promote solar energy by giving various incentives, its adoption rate in households is slow. Psychological factors have been relatively overlooked in solar adoption, despite the importance of social and economic factors. Therefore, the purpose of this study is to investigate how psychological determinants impact households' willingness to install solar photovoltaic (PV) systems. This study focusses on the future orientation and personal values (biospheric, altruistic, and egoistic values) of households' and their willingness to install solar PV systems. The research draws from three environmental psychology theories: values orientation theory, value beliefs and norms theory, and the theory of planned behaviour to construct an integrative theoretical model. A survey involving 179 respondents in Australia was conducted and analysed applying the PLS-SEM technique. Findings revealed that future orientation and values are significant predictors of household willingness to install solar PV systems. Further, findings showed that attitude and perceived behavioural control play a significant role in installing solar. The findings will assist policymakers and solar companies in developing lucrative policies and marketing strategies to promote solar PV systems among households. [ABSTRACT FROM AUTHOR]

Background: Even though the disease has spread throughout the world, with millions killed, global COVID-19 vaccination coverage remains low, particularly in developing countries. However, epidemiological data is lacking in the area. Hence, this study aimed to assess COVID-19 uptake, willingness for vaccination, and associated factors. Method: A hospital-based cross-sectional study was conducted from May 1 to June 30, 2022, among patients attending chronic follow-up clinics in the two comprehensive specialized hospitals in Bahir Dar. The total sample size was 423. Participants were selected by a systematic random sampling technique. Data was gathered using a pre-tested questionnaire and analyzed using SPSS version 23. A descriptive analysis was performed. A binary logistic regression analysis was done to assess the association between variables. Variables with a p-value < 0.05 in the multi-variable logistic regression with a 95% confidence interval were considered statistically significant. Results: The analysis included 400 out of 423 participants, representing a 95% response rate. The COVID-19 vaccination uptake was 46.8%, while the acceptance was 60.5%. About 56% and 68% of the respondents had good knowledge and a favorable attitude, respectively. Elderly people were 2.7 times more likely to be vaccinated. Similarly, urban residents were 3.94 times more vaccinated. The probability of being vaccinated among respondents with good knowledge and favorable attitudes was 70% and 79%, respectively. The willingness for vaccination increased among those individuals with favorable attitudes (AOR: 1.82). Urban people were less likely to accept vaccination (AOR: 0.46). Some participants misunderstood that vaccination may aggravate their disease condition. Conclusion: The overall COVID-19 vaccine uptake and acceptance for vaccination were low compared to what was estimated by the WHO. Age, residence, knowledge, and attitude were associated with COVID-19 vaccine uptake and acceptance of vaccination. Besides, there was a high level of rumor about the status of the vaccine and risk factors. Hence, special emphasis is warranted to deliver centrally trusted information. Moreover, further nationwide studies are warranted in the future. [ABSTRACT FROM AUTHOR]

Background: Global population aging poses a significant global challenge, necessitating an increased demand for proficient caregivers specialized in elderly care. In our study, a systematic review and meta-analysis were conducted to synthesize the evidence concerning nursing students' willingness to participate in caring for older people. Methods: Eligibility criteria focused on cross-sectional studies involving nursing students' willingness to participate in caring for older people and were reported in English or Chinese. PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), and WANFANG databases were searched from inception until July 24, 2022. The methodological quality assessment in the included studies was evaluated using the AHRQ instrument. The pooled effects of the nursing students' willingness to participate in caring for older people were computed using a random-effects model. Funnel plots and Egger's test were employed to evaluate publication bias. Meta-regression and subgroup analysis were performed to explore the sources of heterogeneity. Sensitivity analysis was conducted to verify the robustness of the meta-analysis findings. All statistical tests were conducted with Stata 16.0 software. Results: A total of 68 studies of medium or high quality met the eligibility criteria, involving 30,328 nursing students. The rate of nursing students' willingness to participate in caring for older people was 49.0% (95% CI = 46–53%, I2 = 98.1%, P = 0.000). The results of meta-regression analysis showed that the following four predictor variables were significantly associated with nursing students' willingness to participate in caring for older people: experience of living with and caring for older people, nursing as their first choice and their year-level in education, respectively. Subgroup analyses for these four predictor variables revealed the following pooled estimates of nursing students' willingness: having experience of living with older people (0.54, 95% CI = 0.46–0.62) vs. no such experience (0.38, 95% CI = 0.30–0.46), having experience of caring for older people (0.55, 95% CI = 0.48–0.63) vs. no such experience (0.38, 95% CI = 0.30–0.46), nursing as their first choice (0.54, 95% CI = 0.51–0.58) vs. not their first choice (0.44, 95% CI = 0.35–0.53), being in the first year of nursing education (0.44, 95% CI = 0.34–0.55), second year (0.45, 95% CI = 0.34–0.56), and third and fourth year (0.62, 95% CI = 0.53–0.71). Conclusion: The study found that approximately half of the nursing students confirmed their willingness to participate in caring for older people.The present study can serve as a resource for policymakers to increase the willingness of nursing students to participate in caring for older people. [ABSTRACT FROM AUTHOR]

ABSTRACT Aims Design Methods Results Conclusion Impact Patient or Public Contribution Narrative nursing (NN) is a crucial component of modern medical humanistic care. It involves utilising storytelling as a means to guide nurses in devising future interventions for patients, and help patients in reconstructing positive psychological defences. The willingness of clinical nurses to engage in narrative nursing holds significant implications for both effective communication and the overall quality of care. However, there is limited knowledge regarding clinical nurses' willingness to engage in narrative nursing. This study aims to investigate the participation willingness of Chinese nurses, identify its predictors and explore its corresponding reasons.A cross‐sectional study.Clinical nurses were enrolled in Hunan province, Central South, China, and a convenience sampling strategy was used. A structured questionnaire was distributed to clinical nurses by an online survey platform. Information on sociodemographic characteristics, willingness and possible influencing factors (experience, ability, perceptions on narrative nursing) was collected. Binary logistic regression was conducted to identify the predictors of willingness to participate in narrative nursing.A total of 2310 nurses were recruited, of which 2092 nurses completed the questionnaire (response rate: 90.6%). One thousand seven hundred and thirty‐four nurses (82.9%) were willing to participate in NN, and 358 (17.1%) were not. Binary logistic regression analysis identified nine predictors of participants' willingness to participate, including working departments, professional title, working position, experience of received mobilisation and training of NN, understanding of related knowledge, NCS level, affirmation of NN and positive attitude towards clinical application (all p values < 0.05). These indicators explained 17.1% of the variances in the dependent variable (p < 0.001).A high proportion of nurses in Hunan province were willing to practice in clinic using NN. Willingness to participate may be increased by a focus on nurses with low professional titles, no administrative position and working in specialised departments, such as emergency departments, infectious departments, critical care units and operating theatres.The study identified a high proportion of nurses in Hunan Province who were willing to use NN. However, the figure was slightly lower than expected. Influencing factors were analysed to give insights for managers to develop more effective NN outreach programs.No patient or public contribution. [ABSTRACT FROM AUTHOR]

Background: In low- and middle-income countries, weak public health infrastructure and limited healthcare funding often lead to inadequate healthcare services. Private providers bridge this gap, resulting in high out-of-pocket expenses. Micro health insurance programs can enhance access to healthcare and offer financial protection to low-income populations. This study aimed to identify factors influencing the willingness to participate in micro health insurance programs and determine the optimal premium amount. Methodology: A cross-sectional analytical study was conducted in Karachi with 245 participants, using a validated questionnaire. Multiple linear regression was applied to predict willingness to purchase healthcare insurance based on factors such as age, income, education, discretionary income, family employment, and existing health insurance coverage. The contingent valuation method was used to estimate willingness to pay and the premium amount. Data were analyzed using SPSS version 20. Results: Willingness to purchase health insurance was significantly influenced by income, household expenses, education, discretionary income, and health service preferences. Among participants, 36.3% expressed willingness to participate in a micro health insurance program, while 63.7% were unwilling. Conclusion: Willingness to participate in micro health insurance is strongly associated with economic and educational factors, discretionary income, and household expenses. These findings highlight the need for targeted interventions to improve participation in micro health insurance programs, particularly among low-income groups. [ABSTRACT FROM AUTHOR]

ABSTRACT: Background: The coronavirus disease 2019 (COVID-19) vaccination program among adults in India is one of the highly successful vaccination drives globally, but the acceptance of the COVID-19 vaccine among parents for their children is largely unknown. As parents are primary decision-makers for their children, we aimed to assess parents' perceptions and acceptance for COVID-19 vaccination for children in India. Aim: To assess parental perceptions and acceptance for COVID-19 vaccination for their children (aged <18 years). Materials and Methods: A cross-sectional anonymous web-based survey was designed and conducted from November 1 to December 15, 2022. All the healthcare workers of a tertiary care institute in eastern Uttar Pradesh, having a child aged <18 years, constituted the study population and were invited. They were recruited through snowball sampling and were sent the study questionnaire in Google form through email and WhatsApp. Bivariate analysis was performed to determine the predictors of child vaccination acceptance among the parents. Results: A total of 388 healthcare worker parents (HCWPs) having a child <18 years of age completed the survey. The mean age of the parents was 40.28 ± 11.34 years. The majority (96.9%) of them had already received the recommended two doses of the COVID-19 vaccine. Around 91% of the parents agreed that COVID-19 vaccines are important for children's health, whereas 89% agreed that COVID-19 vaccines are effective. A total of 356 (91.7%) parents were willing to vaccinate their children with a COVID-19 vaccine, of which 91.3% intended to do so as soon as possible. The factors significantly associated with the stated willingness for child vaccination among the participants were younger age (P = 0.008), female gender (P = 0000), currently married status (P = 0.00001), urban residence (P = 0.01), lower monthly income (P = 0.03), absence of any chronic illness (P = 0.0003), history of COVID-19 in the child (P = 0.004), and the child being up-to-date with the routine childhood vaccines (P = 0.01). Conclusion: The HCWPs from eastern Uttar Pradesh, India, have a positive attitude and low vaccine hesitancy toward COVID-19 vaccination for children, with around 92% currently willing to vaccinate their children with COVID vaccine. Further longitudinal studies are required to assess the trend of parental acceptance of COVID vaccine. [ABSTRACT FROM AUTHOR]

The declaration by the World Health Organization and government-initiated actions by different countries for the COVID-19 vaccine have led to the rapid evolution of sentiments on various social media platforms. Real-time data related to vaccination has grown the need to anticipate the changes in vaccine uptake. Using Twitter dataset, the study models different emotions and their associated word. The emotions are majorly classified into hesitancy and willingness for vaccination. The study categorizes the tweets into pre-launch, post-launch, and booster doses of the COVID-19 vaccine. Based on comparative analysis, most sentiments were related to hesitancy for vaccination during pre-launch. In post-launch, the majority of sentiments were oriented towards willingness for vaccination. However, during the booster dose, the sentiments were oriented toward happy, adequate, and free emotions. Over the time period, the willingness of the COVID-19 vaccine has improved. The practitioners and policymakers can obtain real-time sentiments based on this approach and strategize the long-term vaccination policy for COVID-19 and other vaccination programs. [ABSTRACT FROM AUTHOR]

Background and Aims: Despite a quick rollout of PrEP as a preventive method against Human Immunodeficiency Virus (HIV) infections in Zambia, adolescent and young adult populations have remained very vulnerable to HIV infection. This study assessed the awareness and willingness to use PrEP among University of Zambia (UNZA) students. Methods: Three hundred forty‐six students participated in this cross‐sectional study at UNZA between March and June 2021. A previously validated questionnaire assessed willingness to use PrEP. We tested the hypothesized pathways between sexual risk behavior and willingness to use PrEP using the structural equation model. Multivariate logistic regression analysis was employed to determine factors associated with willingness to use PrEP. Variables with a p‐value < 0.05 were considered statistically significant. Results: Of the 346 students, 271 (78.3%) were aware of PrEP, and 59 (17.1%) of the participants were willing to use PrEP. Only 17 (4.9%) of the participants had used PrEP before. In the multivariable logistic regression model, students who were aware of PrEP compared to those who were not (AOR = 3.03, 95% CI: 1.10, 8.40, p) were more likely to be willing to use PrEP. Sexual risk behavior indirectly and positively affected willingness to use PrEP through awareness of PrEP. Conclusion: Even though most students were aware of PrEP, the willingness to use this preventative measure is still low among UNZA students, resulting in low uptake. Therefore, concerted efforts are required to influence the willingness and uptake of PrEP, especially in high‐risk age groups such as university students. [ABSTRACT FROM AUTHOR]

Introduction and Hypothesis: Pessary self-management offers benefits to women with no increased risk of complications. However, many are unwilling to self-manage, preferring clinician-led care. This study is aimed at exploring factors associated with willingness to self-manage a pessary. Methods: Women attending pessary clinic at a UK hospital were asked to complete a questionnaire providing responses on pessary use, comorbidities, female genital self-image, self-management experience and willingness (or not) to learn self-management. Based upon statistical advice we aimed to recruit 90 women. Data were analysed using the non-parametric Kruskal–Wallis test and Chi-squared test. Free text data were analysed thematically. Results: A total of 89 women completed the questionnaire. Thirty-three women (38%) had previously been taught pessary self-management. Of the remaining women, 12 (21%) were willing to learn, 28 (50%) were not willing and 16 (29%) were unsure. There was no correlation between female genital self-image and willingness to self-manage a pessary. Younger women were more willing to learn self-management (p = < 0.001). Willing women were motivated by reduced follow-up visits. Self-managing women reported benefits including increased autonomy, cleanliness and giving their body "a break". Reasons discouraging women from self-managing were a lack of confidence; feeling physically unable; wanting clinician-led care; fear of problems or previous problems with their pessary. Conclusions: Most women were either unsure about pessary self-management or unwilling to self-manage. Age was the only factor we found that had a significant relationship with willingness to self-manage a pessary. With robust self-management teaching, support and follow-up, it is likely that many of the barriers women report can be overcome. [ABSTRACT FROM AUTHOR]

This study aimed to measure the pooled estimate of willingness to use HIV pre-exposure prophylaxis (PrEP) (WTUP) among PrEP-naïve United States (U.S.)-based men who have sex with men (MSM). PubMed, Embase, Web of Science, CINAHL, and PsycINFO were searched. The search strategy contained the keyword willingness and interest and the MeSH terms for HIV and PrEP. Articles were included if they were published between January 2005 and May 2022, reported quantitative data on WTUP among PrEP-naïve US-based MSM, and were available as full text in English. Meta-analysis was conducted to assess the pooled effect size of WTUP prevalence using a random-effects model, heterogeneity in the pooled estimate was assessed, and subgroup analyzes were conducted. Fifteen studies were included based on the inclusion and exclusion criteria. Meta-analysis revealed a pooled prevalence proportion for WTUP of 0.58 (95% CI 0.54–0.61) (or 58 out of 100) among PrEP-naïve MSM. High inter-study heterogeneity (Q = 548.10, df = 19, p < 0.01, I2 = 96.53, τ2 = 0.09) was observed. Age of the study sample and region where the data were collected significantly moderated the pooled WTUP estimate. Age-appropriate PrEP related messaging and a focus on HIV priority areas of the U.S. would be important strategies to improve WTUP among MSM in the U.S. moving forward. [ABSTRACT FROM AUTHOR]

This article discusses a research study conducted in Khorramabad, Iran, which aimed to understand the factors influencing small-scale farmers' willingness to migrate in response to climate change. The study found that farmers with greater knowledge and resources related to adaptation were less likely to express a willingness to migrate. Factors such as education level, second job, financial support, and homeownership were associated with a higher probability of being willing to migrate. The study emphasizes the importance of improving farmers' knowledge of adaptation strategies, providing access to resources and support systems, and investing in education and financial capital to enhance their adaptive capacity and reduce their inclination to migrate. [Extracted from the article]