Psychosocial dimensions of vaccine hesitancy: A systematic review.

Despite widely recognised effectiveness against the spread of COVID-19, vaccine hesitancy persists. This systematic literature review aimed to clarify the definition and the operationalisation of the term 'vaccine hesitancy' and disclose the various psychosocial factors underlying this phenomenon. The results of studies conducted in European countries and in the United States after the vaccines became available were taken into account. The review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analyses statement. Twelve studies met the inclusion criteria and were reviewed. efinitions and measures of vaccine hesitancy differed across the studies, limiting their comparison. Nonetheless, by drawing on theoretical frameworks, we were able to identify several psychosocial variables in determining vaccine hesitancy. Our findings point to the need for a transdisciplinary approach to understanding the antecedents of vaccine hesitancy. A better understanding of the phenomenon may help to develop interventions and social policies to address a complex challenge such as vaccination hesitancy.

Assessing Rape Myth Acceptance: A Contribution to Italian Validation of the Measure for Assessing Subtle Rape Myth (SRMA-IT).

The study aimed to validate the Italian version of the Measure for Assessing Subtle Rape Myths developed by McMahon and Farmer. A sample of 3,915 university students (70.8% female) completed the questionnaire. After an exploratory factor analysis, a confirmatory factor analysis tested the resulting four-factor structure of the Italian Subtle Rape Myth Acceptance (SRMA-IT) Scale ("She Asked for It"; "He Didn't Mean To"; "It Wasn't Really Rape"; and "She Lied"), consistent with McMahon and Farmer's initial hypothesis. The Italian validation did not include items related to intoxication. Internal consistency of the subscales was good (α from .78 to .90). Convergent validity between all subscales and System Justification-Gender was detected: A strong relationship was observed (r is from .19 to .33; p < .001). The independent-sample T test then showed that women accepted all four rape myths significantly less than men: Effect size is more than moderate for the myth "She Asked for It" (Cohen's d = .60) and between small and moderate for the other myths (d is from .35 to .42). Acceptance of rape myths is often associated with higher men's proclivity to rape and with tendency to raped women's double victimization (they can be not believed or blamed when they disclose the rape). Having a validated instrument to measure rape myth acceptance can enhance empirical research on this topic and help to develop interventions of prevention both for men in the society and for the first responders to disclosures, also sustaining a culture of respect and of contrast to violence.

The Relationship between Local Identification, Urban Disorder Sensitivity, and Prejudice Toward Immigrants: The Role of Autochthony.

Autochthony is the belief that a place belongs to those who were born there and that they are more entitled. Autochthony and local identification can foster sensitivity to any source of disorder that threatens local stability. The aims of this study were to determine whether: (a) local identification is associated with a higher level of sensitivity to urban disorder and a higher level of prejudice toward immigrants; (b) higher city identifiers use autochthony (entitlement for first comers) as a justification for both of these attitudes. A self-report questionnaire was administered to 254 adult residents of Turin, Italy. Local identification was found related to autochthony and to urban disorder sensitivity, autochthony was positively associated with both urban disorder sensitivity and prejudice toward immigrants and it mediated the relationship between local identification and prejudice.

Educating Youth to Civic Engagement for Social Justice: Evaluation of a Secondary School Project.

The positive effects of youth civic engagement can be felt both at the individual level (e.g., better emotional regulation, a greater sense of empowerment) and at the community level (e.g., a greater likelihood of participation in civic and political activities). They may also be a protective factor for at-risk youth in the short and long term and a valuable element for positive identity development in general. The purpose of this longitudinal study was to assess the impact of an educational intervention implemented in secondary schools to promote youth civic engagement (N = 508 at Time 1, N = 116 at Time 2). The study is divided into two parts: first, it examines the changes stimulated by the project, and second, it uses a path analysis model to explain the intention to participate. Results show that after participation, hostile and benevolent sexism, classic and modern ethnic prejudice, and social dominance orientation decreased, while trust in institutions increased. In addition, the path analysis showed that policy control, social trust, and civic engagement increased the intention of civic engagement at time T1. Despite some limitations, this study may provide useful guidance for those designing and implementing civic education interventions for young people.

Self-Objectification and its Biological, Psychological and Social Predictors: A Cross-Cultural Study in Four European Countries and Iran.

Although scholars started investigating self-objectification more than twenty years ago, only a few studies focused on men and even fewer have taken into account the cross-cultural dimension. Our study focused on the antecedents of self-objectification paying attention to the role of biological and sociodemographic variables (gender, BMI), psychological characteristics (self-esteem, perfectionism) together with social and cultural factors (internalization of media standards, influence of family and friends). Self-objectification was operationalized as Body Shame and Body Surveillance. A self-reported questionnaire was administered to 2165 adults living in four European countries (UK, Italy, Poland and Romania) and Iran. Ten regression models were performed (2 per country) to analyse the correlates of self-objectification. Overall, self-objectification emerged as a process affected by factors entrenched in psychological, biological, social and cultural domains, partially different for Body Shame and Body Surveillance. Findings showed the key role of self-esteem as a protective factor against Body Shame across countries. On the other hand, the internalization of media standards emerged as risk factor for both Body Shame and Body Surveillance in the five countries. Taken together, these results underline the complexity of self-objectification and the need to deepen research on this topic among non-Western countries.

Community dimensions and emotions in the era of COVID-19.

Following an ecological perspective, reactions to a disaster-such as the COVID-19 pandemic-should be analysed in the interdependence between individual and community dimensions. The present study aims to analyse individual emotional dimensions (anxiety, joy, fear or depressive feelings) and their community dimensions (connectedness, emotional sharing and solidarity) with a longitudinal approach among university students from Italian universities. Participants were 746 university students at t1 (during the lockdown) and 361 at t2 (after the lockdown) recruited in six Italian universities from different areas of Italy. Comparing emotional dimensions in the two times, t2 is characterized by a generalized ambiguity: both happiness or joy because of the end of limitations and a kind of 'post-lockdown anxiety' because of a sense of individual inadequacy in facing the return to normality, conducting daily activities and attending community spaces. Data confirms that after the so-called 'honeymoon phase' in community dimensions (first phase of t1 time), a sort of 'depressive reaction' arises at t2: Italian university students seem more aware of the need for individual and social responsibility and that many events are not under their personal control. The reconstruction phase and exit from the emergency are perceived as necessary but also as a difficult and risky period. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.

Evaluation of USVreact: A Staff Training Program to Prevent Sexual Violence at Universities.

Interventions addressing the endemic of sexual violence at European universities are scarce, particularly those that take a bystander focus to sexual violence prevention and involve university staff. Evidence-based data on their effectiveness are also lacking. This article reports the description of a pilot evaluation study of the USVreact Italian training program addressed to university staff for counteracting sexual violence. We assessed initial (T1) representations of gender-based violence, rape myth acceptance, and attitudes to bystander intervention (172 participants), and evaluated the effectiveness of the course by comparing, via paired-sample t tests, the responses before and after (T2) training (66 participants). Comparison between pre- (T1) and posttraining (T2) responses indicated that the participants' ability to recognize subtle forms of violence and reduce rape myth acceptance was increased after training. Relatively few training programs based on the bystander approach to prevent gender-based violence at university have been performed to date in Europe and data on their effectiveness are scarce. Several limitations notwithstanding, the present pilot evaluation study provides suggestions for a more systematic evaluation of training interventions that address cultural legitimation of gender-based violence and that sustain bystander interventions in sexual assault prevention.

Myths about Intimate Partner Violence and Moral Disengagement: An Analysis of Sociocultural Dimensions Sustaining Violence against Women.

Intimate partner violence (IPV) is a public health issue worldwide and a serious violation of human rights. Recognizing IPV as a form of violence is essential for both victims who need help and offenders who can join treatment programs. Furthermore, only a society able to identify violence can effectively deal with IPV. The present study is aimed at investigating the role of sociocultural dimensions (i.e., ambivalent sexism toward women, ambivalence toward men, and lay theories about gender differences) in sustaining myths about IPV and moral disengagement. The participants were 359 university students (76.5% female). The results show that hostile sexism toward women plays a key role in sustaining both myths and moral disengagement. Moreover, benevolence toward men and biological lay gender theories (i.e., "naïve" theories assuming that sex differences are a product of biology and genetics) significantly affected the endorsement of IPV myths. The implications are discussed.

Predicting Bystander Intention to Intervene: The Role of Gender-Specific System Justification and Rape Myth Acceptance for Men and Women.

The relationship between rape myth acceptance, gender-specific system justification (GSJ), and bystander intention to intervene has often been studied on a one-dimensional basis, without separating the four dimensions of the acceptance of rape myths. The current study analyzes the relationship between the acceptance of rape myths, GSJ, and bystander intention to intervene, and explores whether the relationships operate differently for men and women. The sample was 3,966 university students: 2,962 from the University of Turin and 1,004 from the Politecnico of Turin; 71.2% women and 28.8% men; average age of 22.61 years. After descriptive analyses, independent sample T-test, and bivariate correlations, a model where the acceptance of four rape myths ("She asked for it"; "He didn't mean to"; "It wasn't really rape"; "She lied") mediated the relationship between GSJ and bystander intention to intervene was tested on the whole sample and then separately on women and men. A bootstrapping procedure was applied. Our data show that for both men and women, GSJ was related to the four rape myths, whereas women and men differed on the relationship between acceptance of rape myths and bystander intention to intervene: only the dimension "She asked for it" was significant for both groups; the dimension "It wasn't really rape" was significant only for the men. Focusing on the differences in women and men regarding acceptance of rape myths can be fruitful for a theoretical deepening of the field and may inform the development of more successful prevention programs.

Challenging gender perspective in the community to promote well-being and health.

The community is an excellent potential arena in which to challenge gender perspective and change power structures in society because of its pivotal role in socializing gender and shaping social context. The community influences the availability of positive and negative role models, the accessibility of specific settings, the ease with which relationships are formed, and a variety of emotions and attitudes. The literature shows that paying attention to gender equity affects numerous indicators of community well-being. Attention to gender equity makes communities more competent, which creates human and social capital that enables community well-being. We will examine the role of gender not only as a social construction but also as a context to create a healthy setting in the community and to promote the health and wellness of gender perspectives in the scientific domain, which seems resistant to change.

Gender matters and the challenge for improving community health and well-being.

The present paper introduces present issue focused on community gender perspective and health in an Italian context. After a brief analysis of the disparity and inequity that persist in Europe and Italy, we present six papers from different Italian regions that demonstrate different elements of the complex gender matters and challenges of well-being and health in the community. Considering the differences in social vulnerability and risk between men and women, the unequal power relationships between the sexes could improve the efficacy of intervention and preventative actions. Through this series of papers, we aim to contribute to the debate about how gender perspective can shape studies and interventions that promote both individual and community health and well-being. Gender, one of the key determinants of health, is revealed in many ways; it is necessary to better understand and plan health service interventions to improve the health of women and men. Furthermore, more attention and reflection are needed to promote policy interventions for health and to consider the contribution of women to the health of the community.

Awareness of gender medicine among family doctors. A field investigation.

Ample evidence has shown that gender is one of the key determinants of health and illness and that a better understanding of gender-specific determinants can contribute to greater equity and equality in health services, with better health for both women and men. Nonetheless, the androcentric bias prevalent in healthcare makes it difficult to address the needs of either women or men adequately. Strengthening research into gender medicine issues is, therefore, desirable. With the present study, we investigated awareness of gender medicine among practicing primary care physicians and doctors-in-training in primary care and whether sexism affects awareness of gender medicine. Our findings show that there is a need for training programs to enhance gender awareness among both practicing physicians and those in training. Implications for policies are discussed.

Psychosocial empowerment-based interventions for smoking reduction: concepts, measures and outcomes. A systematic review.

Although empowerment is a widely used concept in health-related areas, its definition remains unclear. While there is evidence for the effectiveness of empowerment interventions in improving some psychosocial factors linked to health (e.g. patient self-care strategy, coping skills, access and effective use of health services) and some health outcomes like mental health and HIV/AIDS-related behaviour, other data appear to contradict this. Moreover, concepts, measures, and outcomes related to empowerment are operationalized in different ways. Using the case of tobacco control programmes, we wanted to explore: (a) how research on smoking reduction/prevention has conceptualized empowerment; (b) which measures and instruments have been used to assess behaviour outcomes and the empowerment process. We hypothesized that the transformative potential that characterizes empowerment is marginally considered.A total of 18 studies reporting on the effect of prevention interventions on smoking and/or empowerment outcomes were reviewed. Two kinds of study were distinguished: (a) studies reporting behaviour outcomes without data about the impact on empowerment; (b) studies analysing the empowerment process. Among this latter type, some studies did not provide information about the specific behaviour (smoking), while others examined the impact of intervention on both smoking and empowerment. In about half of all studies, empowerment strategies were found to be effective in improving smoking outcomes, while no differences were found between intervention and control groups in the remaining studies. The present review suggests that pragmatic definitions of empowerment need to be developed in order to promote its transferability and evaluation.

Self-Objectification and Personal Values. An Exploratory Study.

Self-objectification occurs when individuals treat themselves as objects to be viewed and evaluated based upon appearance. Literature has largely elucidated links between self-objectification and damaging outcomes in both men and women. The purpose of the present study was to extend past research on the antecedents of self-objectification. We were interested in the role played by specific ideological components, i.e., higher order personal values (self-enhancement, conservation, self-transcendence, and openness to change), in influencing the degree to which individuals internalize the objectifying perspective of the Western cultural milieu, i.e., self-objectify. Undergraduate participants (N = 371, 76.8% women) completed measures of self-objectification (i.e., body surveillance and body shame), and endorsement of higher order values. Regression analyses demonstrated that self-enhancement is linked to higher self-objectification in both men and women, whereas conservation is related only to women's body surveillance. Self-transcendence seemed to act as a buffer against men's body surveillance, whereas openness to change resulted as a buffer against women's body surveillance. Implications are discusses.