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OBJECTIVE: Governments use vaccination mandates, of different degrees of coerciveness, to encourage or require childhood vaccination. We elicited the views of well-informed community members on the public acceptability of using childhood vaccination mandates in Australia. METHODS: Four community juries were conducted in Canberra, Launceston, Cairns and Melbourne, Australia between 2021 and 2022. We recruited 51 participants from diverse backgrounds, genders and ages through random digit dialling and social media. Two juries were held in metropolitan areas, and two in regional/rural settings. Outcome measures included jury verdicts and reasons in response to structured questions. RESULTS: All juries were concerned about collective protection and individual rights but prioritised the former over the latter. A majority in all juries supported mandates but juries disagreed with respect to the appropriate mandate types. All juries endorsed using the least restrictive or coercive means to encourage vaccination (providing incentives or education, e.g.) before imposing penalties such as financial losses and school exclusions. The overriding view was that it is fairer to place a direct burden on parents rather than children and that mandates should be designed to avoid inequitable impacts on less advantaged groups in society. Many jurors found conscientious objection acceptable as a controlled option for resolute refusers, provided that overall vaccination coverage remains high. CONCLUSION: This paper gives policymakers access to the reasons that Australians have for supporting or opposing different mandates under conditions of high knowledge, understanding and deliberation regarding policy options. Sustaining high rates of vaccination requires high levels of co-operation between governments, public health actors and the public. Our findings highlight the importance of considering public values in the design and implementation of vaccination mandates. PATIENT AND PUBLIC INVOLVEMENT: We sought input from individuals who did and did not vaccinate during the study design. The views and perspectives of nonvaccinating parents were presented in the evidence to juries. We deliberately excluded nonvaccinating individuals from participating, as the divisive and often hostile nature of the topic, and their minority status, made it difficult to ensure they would feel safe as members of the jury without overrepresenting their perspective in the sample. Two related projects engaged directly with these parents.
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Programas Obligatorios , Vacunación , Humanos , Australia , Femenino , Masculino , Vacunación/legislación & jurisprudencia , Adulto , Persona de Mediana Edad , Niño , Adolescente , Opinión Pública , Adulto Joven , Padres/psicologíaRESUMEN
Advances in gene editing technologies for human, plant, and animal applications have led to calls from bench and social scientists, as well as a wide variety of societal stakeholders, for broad public engagement in the decision-making about these new technologies. Unfortunately, there is limited understanding among the groups calling for public engagement on CRISPR and other emerging technologies about 1) the goals of this engagement, 2) the modes of engagement and what we know from systematic social scientific evaluations about their effectiveness, and 3) how to connect the products of these engagement exercises to societal decision or policy making. Addressing all three areas, we systematize common goals, principles, and modalities of public engagement. We evaluate empirically the likely successes of various modalities. Finally, we outline three pathways forward that deserve close attention from the scientific community as we navigate the world of Life 2.0.
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Investigación Biomédica , Repeticiones Palindrómicas Cortas Agrupadas y Regularmente Espaciadas , Edición Génica , Formulación de Políticas , Edición Génica/ética , Edición Génica/legislación & jurisprudencia , HumanosRESUMEN
BACKGROUND: With the rapid escalation of global urbanization, the role of blue-green spaces in urban ecology, public health, and planning has become increasingly prominent. Although their contributions to ecological preservation, public health, and urban design are widely acknowledged, research into public engagement and willingness to participate in the management and planning of these spaces is still in its early stages. OBJECTIVE: This study aims to identify key factors influencing public willingness to participate in blue-green space management, focusing specifically on people's perceptions of blue-green spaces (including perceived quality and accessibility), their usage behaviors (i.e., frequency of usage of blue-green spaces), and their self-assessed physical and mental health. METHODS: We interviewed local residents through random sampling to obtain sample data, and used a representative sample (n = 815, 510 women; 305 men, age 18-85 years, lived in Chengdu for an extensive time) of residents living in Chengdu City, China. Employing a quantitative approach, we examined the relationships between factors such as gender, regular occupation, income, behavior, and health status in relation to the willingness to participate. Additionally, we explored how perceptions and behaviors impacted health statuses and, consequently, inclinations to participate. RESULTS: The findings indicate that individuals with steady occupations and higher incomes are more inclined to engage in the management and planning of blue-green spaces. Notably, men exhibited a greater tendency to participate than women. Furthermore, access to blue-green spaces emerged as a crucial mechanism for addressing health disparities, offering significant implications for urban planning and public health. CONCLUSION: Successful blue-green space planning and understanding of willingness to participate necessitates the holistic consideration of people's perceptions of blue-green spaces, their usage behaviour and their self-rate health. For a tangible impact on health equity and global urban development, it's essential to prioritize blue-green spaces in planning, especially in lower-income regions. This not only promotes environmental perception but can also be a strategic approach to address health disparities. Our findings offer vital insights for tailoring international urban planning and management practices towards these goals.
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Salud Pública , Humanos , Masculino , Femenino , Persona de Mediana Edad , Adulto , Anciano , Adolescente , China , Adulto Joven , Anciano de 80 o más Años , Urbanización , Ciudades , Participación de la Comunidad , Planificación de CiudadesRESUMEN
This paper reports on Environmental and Social Impact Assessment (ESIA) public participation in Malawi with a focus on the role of women from matrilineal and patrilineal marriage systems. Six rural ESIA projects are explored of which three are in areas of patrilineal and three are in areas of matrilineal systems. Participation space was found to be consistently dominated by men, with no obvious differences between both systems. The key reasons are likely to be lower educational and social status of women in rural areas throughout the country. This is associated with a number of challenges, including chronic poverty and food insecurity. Affirmative action is needed to achieve a better representation of women in ESIA processes.
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Participación de la Comunidad , Malaui , Humanos , Femenino , Masculino , Población Rural , Matrimonio , Equidad de Género , Ambiente , Factores SocioeconómicosRESUMEN
Hong Kong (HK), one of the world's most densely populated metropolises, is home to over 200 rivers and streams extending about 2500 km in length. During the 1970s-1990s, most of these rivers were converted into artificial canals, to which the local society pays little attention. Since the 2010s, the HK government has initiated river revitalization to enhance the social-environmental roles of rivers. This study employed a mixed research method, including literature and policy analysis, expert interviews, field visits, and a public survey, to identify key challenges in HK's Integrated River Basin Management (IRBM). The findings highlighted the lack of IRBM's institutional arrangements in HK, characterized by a fragmented 'one river, two systems' approach without both coordination and collaboration. The Water Supplies Department (WSD) impounds upland streams as reservoirs for securing the local water supply, while the Drainage Service Department (DSD) manages heavily channelized, culverted downstream serving as storm drains with diminished ecological functionality. One significant barrier to the implementation of IRBM in HK was the limited public participation, although our survey revealed a high level of public willingness to participate in river management. Presently, river revitalization efforts have achieved limited success, with ecological measures appearing mostly "cosmetic" and the conservation of freshwater biodiversity neglected. This further underscored the pressing need for the embracement of IRBM in HK to safeguard basin-wide freshwater ecosystems. Our survey also indicated low public awareness of river revitalization initiatives and widespread dissatisfaction with their outcomes. In conclusion, we proposed the development of IRBM in HK by instituting river basin coordination, prioritizing river ecosystem restoration in revitalization projects, and involving the public through tailored strategies.
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Conservación de los Recursos Naturales , Ecosistema , Hong Kong , Conservación de los Recursos Naturales/métodos , Ríos , BiodiversidadRESUMEN
Urban forests are being threatened by rapid urbanization, biodiversity crises, and climate variability. In response, governments are increasingly collaborating with the public for solutions to these mounting challenges. Non-governmental organizations (NGOs) are dominant players in these collaborations because of their ability to supplement governments' expertize and resources and bring social and ecological issues to the forefront of civic agendas. Despite their growing visibility in urban forest management, there is a lack of attention directed to the forms and range of NGO relationships. This study focuses on addressing this gap and examining collaborations between local governments and NGOs in urban forest programming by characterizing their components including mandates, relationship ties, accountability, resource exchange, and power dynamics. We collected data using semi-structured interviews with three groups: leaders of NGOs, municipal government officials in an urban forest or public works departments, and urban-forest experts who have observed their interactions. The participants represent 32 individuals in nine Canadian cities. Our results indicate that NGO-government collaborations have relational ties and accountability processes that are both formal and informal in nature. Formality in collaborations is often associated with the amount of funding, proximity to government, or size of the NGO. In addition, our findings suggest that NGOs present an opportunity for local governments to supplement their resources and capacity. While the strength and formality of collaborations may be a product of NGO size and budgets, public servants should not hesitate to engage smaller, grassroots NGOs to realize their public service mandates. Characterizing the components of these governance processes provides a benchmark for practitioners participating in similar public-civic interactions and arms them with the knowledge to navigate collaborative decision-making.
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Gobierno Local , Organizaciones , Humanos , Canadá , GobiernoRESUMEN
Geospatial online participatory tools, or geo-OPTs, are increasingly used worldwide for engaging the public in planning. Yet, despite growth in the adoption and use of geo-OPTs, and the growing scholarship to accompany it, our understanding of their ability to support public participation in environmental planning is still underdeveloped. In this paper, we investigate the application of a geo-OPT by the United States Army Corps of Engineers (USACE), a leading water management agency in the United States, in three contextually and geographically diverse cases. Through a combination of document analysis, interviews, and participant observation, we examine the processes and dynamics associated with the development and use of the geo-OPT Crowdsource Reporter. Our findings highlight the importance of managing geo-OPTs not in isolation or as a panacea but rather as part of a broader planning process that recognizes the complexity and significance of communication in geo-OPT processes. Although it may be tempting and seemingly simple to create and launch these online tools, our research reveals how a lack of intention early on may lead to underuse or misapplication of the tool. More significantly, real damage can be done, like increased public frustration and alienation, resulting in breakdown in communications or even worsening public relations for federal agencies.
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Participación de la Comunidad , Estados Unidos , Humanos , Participación de la Comunidad/métodos , Conservación de los Recursos Naturales/métodos , InternetRESUMEN
Ecological changes are creating disruptions that often disproportionately impact communities of color and economically disadvantaged areas. Scientists who study the consequences experienced by these communities are uniquely suited to bring the public into their work as a way of setting conditions that enable impacted residents to empower themselves to advance environmental and community change. In addition to involving community stakeholders in the process of science, community science can be used to motivate learning and increase engagement of students. Here we highlight a case study of one way a historically Black college involved local communities and students in water quality monitoring efforts to examine the role of the environment in human health. Students in an introductory-level environmental toxicology course collaborated with community members to track pollution and monitor conditions in an urban, impaired stream. Students participated in bi-monthly water quality monitoring alongside community watershed researchers and an annual day-long multisite sampling event with community residents and organizations. Through this engagement, students and community members contributed to the collection of data, learned about the significance of their results, and translated findings into strategies to advance watershed restoration, health, quality of life, and environmental justice goals.
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Calidad de Vida , Calidad del Agua , HumanosRESUMEN
BACKGROUND: Health inequalities are persistent and widening with transformative policy change needed. Radically shifting policy to tackle upstream causes of inequalities is likely to require public participation to provide a mandate, evidence and to address questions of co-design, implementation and acceptability. The aim of this paper is to explore perceptions among policy actors on why and how the public should be involved in policymaking for health inequalities. METHODS: In 2019-2020, we conducted exploratory, in-depth, semi-structured interviews with 21 Scottish policy actors from a range of public sector bodies and agencies and third sector organisations that work in, or across, health and non-health sectors. Data were analysed thematically and used to examine implications for the development of participatory policymaking. RESULTS: Policy actors viewed public participation in policymaking as intrinsically valuable for democratic reasons, but the main, and more challenging, concern was with how it could affect positive policy change. Participation was seen as instrumental in two overlapping ways: as evidence to improve policies to tackle health inequalities and to achieve public acceptance for implementing more transformative policies. However, our analysis suggests a paradox: whilst policy actors place importance on the instrumental value of public participation, they simultaneously believe the public hold views about health inequalities that would prevent transformative change. Finally, despite broad agreement on the need to improve public participation in policy development, policy actors were uncertain about how to make the necessary changes due to conceptual, methodological and practical challenges. CONCLUSIONS: Policy actors believe in the importance of public participation in policy to address health inequalities for intrinsic and instrumental reasons. Yet, there is an evident tension between seeing public participation as a route to upstream policies and a belief that public views might be misinformed, individualistic, short-term or self-interested and doubts about how to make public participation meaningful. We lack good insight into what the public think about policy solutions to health inequalities. We propose that research needs to shift from describing the problem to focusing more on potential solutions and outline a potential way forward to undertake effective public participation to tackle health inequalities.
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Política de Salud , Formulación de Políticas , Humanos , Escocia , Sector Público , Participación de la Comunidad , Salud PúblicaRESUMEN
Public participation is essential to the success of ecological civilization. Whether public participation can effectively play a role in the outgoing audit of natural resources (OANR) is an important issue that remains to be explored. This paper uses the tripartite evolutionary game to explore the mechanism of the audit subjects, the leading cadres, and the public in the OANR. The research finds that there is a two-way linkage relationship between the audit subjects and the leading cadres. The audit subjects and the leading cadres affect the behavior strategies of the public in the indirect way and direct way, respectively. However, the public lacks the path to directly affect the other two subjects. The tripartite ideal audit model of "the audit subjects conduct due diligence audits, leading cadres perform duties, the public participate" cannot be realized. The external effect of the public's strategic choice is not enough to make the profit or loss of leading cadres change structurally and then change their behaviors. This paper demonstrates the reasons why the public cannot effectively participate in the OANR at the current stage from three aspects, which are the interpretation of the equations for replication dynamics, the particularity of the audit system, and the effectiveness of public participation. Three suggestions are put forward which are encouraging citizens' indirect participation in the OANR, disclosing information about the OANR, and improving citizens' awareness of the OANR. This paper has important guiding significance for other developing countries to promote public participation in natural resource auditing.
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BACKGROUND: There is no validated outcome measure for use in children's palliative care outside sub-Saharan Africa. Stakeholders must be involved in the development of such measures to ensure face and content validity. AIM: To gain expert stakeholder consensus on items for inclusion in a paediatric palliative care outcome measure to establish face and content validity. DESIGN: This study was conducted in two phases following Rothrock and COSMIN guidance on patient-reported outcome measure development. Phase 1: Three-round modified Delphi survey to establish consensus on priority items. Phase 2: Item generation meeting with key stakeholders to develop initial measure versions. A young person's advisory group was also consulted on priority outcomes. SETTING AND PARTICIPANTS: Delphi survey: Parents and professionals with experience of caring for a child with a life-limiting condition. Young person's advisory group: young people age 10-20 years. Item generation meeting: bereaved parents, academics and clinicians. RESULTS: Phase 1: Delphi survey (n = 82). Agreement increased from Kendall's W = 0.17 to W = 0.61, indicating movement towards consensus. Agreement between professional and parent ranking was poor (Cohen's kappa 0.13). Professionals prioritised physical symptoms, whereas parents prioritised psychosocial and practical concerns. Advisory group: Children (n = 22) prioritised items related to living a 'normal life' in addition to items prioritised by adult participants. Phase 2: Five age/developmental stage appropriate child and proxy-reported versions of C-POS, containing 13 items, were drafted. CONCLUSIONS: This study highlights the importance and feasibility of involving key stakeholders in PROM item generation, as important differences were found in the priority outcomes identified by children, parents and professionals.
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Enfermería de Cuidados Paliativos al Final de la Vida , Cuidados Paliativos , Adulto , Humanos , Niño , Adolescente , Adulto Joven , Consenso , Técnica Delphi , Evaluación de Resultado en la Atención de SaludRESUMEN
INTRODUCTION: Covid-19 expanded the use of remote working to engage with public contributors in health and social care research. These changes have the potential to limit the ability to participate in patient and public involvement and engagement (PPIE) for some public contributors. It is therefore important to understand public contributors' preferences, so that remote working can be organized in an optimal way to encourage rather than discourage participation. METHODS: We use an economic preference elicitation tool, a discrete choice experiment (DCE), via an online survey, to estimate public contributors' preferences for and trade-offs between different features of remote meetings. The features were informed by previous research to include aspects of remote meetings that were relevant to public contributors and amenable to change by PPIE organizers. RESULTS: We found that public contributors are more likely to participate in a PPIE project involving remote meetings if they are given feedback about participation; allowed to switch their camera off during meetings and step away if/when needed; were under 2.5 h long; organized during working hours, and are chaired by a moderator who can ensure that everyone contributes. Different combinations of these features can cause estimated project participation to range from 23% to 94%. When planning PPIE and engaging public contributors, we suggest that resources are focused on training moderators and ensuring public contributors receive meeting feedback. DISCUSSION AND CONCLUSION: Project resources should be allocated to maximize project participation. We provide recommendations for those who work in public involvement and organize meetings on how resources, such as time and financial support, should be allocated. These are based on the preferences of existing public contributors who have been involved in health and social care research. PATIENT OR PUBLIC CONTRIBUTION: We had a public contributor (Naheed Tahir) as a funded coapplicant on the UKRI ESRC application and involved members of the North West Coast Applied Research Collaboration (NWC ARC) Public Advisor Forum at every stage of the project. The survey design was informed from three focus groups held with NWC ARC public contributors. The survey was further edited and improved based on the results of six one-to-one meetings with public contributors.
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COVID-19 , Humanos , COVID-19/epidemiología , Participación del Paciente , Encuestas y Cuestionarios , Apoyo SocialRESUMEN
OBJECTIVE: While patient participation in individual health technology assessments (HTAs) has been frequently described in the literature, patient and citizen participation at the organizational level is less described and may be less understood and practiced in HTA bodies. We aimed to better understand its use by describing current practice. METHOD: To elicit descriptive case studies and insights we conducted semi-structured interviews and open-ended questionnaires with HTA body staff and patients and citizens participating at the organizational level in Belgium, France, Quebec, Scotland, and Wales. RESULTS: We identified examples of organizational participation in managerial aspects: governance, defining patient involvement processes, evaluation processes and methods, and capacity building. Mechanisms included consultation, collaboration, and membership of standing (permanent) groups. These were sometimes combined. Participants were usually from umbrella patient organizations and patient associations, as well as individual patients and citizens. DISCUSSION: Although the concept, participation at the organizational level, is not well-established, we observed a trend toward growth in each jurisdiction. Some goals were shared for this participation, but HTA bodies focused more on instrumental goals, especially improving participation in HTAs, while patients and citizens were more likely to offer democratic and developmental goals beyond improving participation processes. CONCLUSION: Our findings provide rationales for organizational-level participation from the perspectives of HTA bodies and patients. The case studies provide insights into how to involve participants and who may be seen as legitimate participants. These findings may be useful to HTA bodies, the patient sector, and communities when devising an organizational-level participation framework.
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Participación del Paciente , Pacientes , Humanos , Participación del Paciente/métodos , Quebec , Escocia , Bélgica , Evaluación de la Tecnología BiomédicaRESUMEN
Objective: We sought to identify trends and themes in how academic health sciences libraries in the United States, Canada, and Mexico have supported engagement and outreach with Native Americans, Alaska Natives, First Nations, and Indigenous peoples, in or from those same countries. We also sought to learn and share effective practices for libraries engaging with these communities. Methods: We conducted a scoping review utilizing Arksey and O'Malley's framework for scoping reviews and followed principles from JBI Manual for Evidence Synthesis. We searched seven bibliographic databases, E-LIS (Eprints in Library and Information Science repository), and multiple sources of grey literature. Results were screened using Covidence and Google Sheets. We reported our review according to the PRISMA and PRISMA-S guidelines. We determined types of interventions used by academic health sciences libraries in engagement with our included populations, the level of public participation reached by these interventions, what partnerships were established, and what practices emerged. Results: Database searching returned 2,020 unique results. Additional searching resulted in 211 further unique results. Full text screening of relevant articles found 65 reports meeting criteria for inclusion. Data extraction was conducted on these programs to identify partners, intervention type, and evaluation method. The programs were categorized using the IAP2 Spectrum of Public Participation. Conclusion: Our scoping review found that many programs were health information trainings and did not move beyond informing the public with little further involvement. The need for sustained funding, greater community participation and more publishing on engagement and outreach are discussed.
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Participación de la Comunidad , Humanos , América del Norte , CanadáRESUMEN
Public participation, as a vital way for conflict management, has attracted increasing attention. Although previous studies have examined the determinants of public participation, the evolutionary process of the participatory behavior has seldom been investigated. Based on the motivation-opportunity-ability theory, a concept model was constructed to illustrate individual behavior of participation in waste incineration power (WIP) projects. Data collected from a questionnaire survey was used to examine the important factors involved in the concept model that significantly influence public's willingness to participate in WIP projects. Thereafter, an agent-based simulation within a social network based on the opinion propagation dynamics was developed to simulate the change of the agents and several simulation experiments were implemented. It was found that with the dissemination of information and the interaction of opinions, the whole network tends to converge to a few central nodes, and the difference of degree of each node also increases gradually. The increase of interaction threshold and moral incentive significantly enhance average participation intention and the proportion of participants. The findings advocate for promoting information disclosure, strengthening opinion interaction between individuals, and emphasizing the internalization of moral sense into the individual's own sense of obligation. This study could enhance the understanding of evolutionary process of public participation in WIP projects and provide valuable suggestions for the promotion of sustainable development of environmental projects.
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Actitud , Incineración , Humanos , Simulación por Computador , Modelos Teóricos , Participación de la ComunidadRESUMEN
There has been a proliferation of studies that have examined the impacts of public participation in Citizen Science (CS) that respond to environmental challenges and the recovery of ecosystems, endangered species or other important natural assets. However, comparatively few studies have explored how tourists may play a critical role in the generation of CS data and thus it has been posited that many potential opportunities remain unrealised. By systematically analysing studies that have utilised tourist-generated data in response to environmental challenges or issues, this paper seeks to establish an appraisal of what has so far been established in extant literature and to identify future possibilities for the inclusion of tourists in CS. Via our literature search, a total of 45 peer-reviewed studies were identified via the PRISMA search protocol. Our findings reveal numerous positive outcomes were reported that highlight the significant, yet largely untapped, potential of tourist integration in CS, with studies also offering a range of recommendations on how tourists could be included more effectively to expand scientific knowledge. Notwithstanding, several limitations were observed, and it is critical that future CS projects that utilise tourists for data collection purposes are acutely aware of the challenges they may encounter.
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Ciencia Ciudadana , Humanos , Animales , Ecosistema , Participación de la Comunidad , Recolección de Datos , Especies en Peligro de ExtinciónRESUMEN
Agriculture dominates California's San Joaquin Valley with over five million acres of farmland produces 400 different commodities ranging from nuts, tree fruits, vines, and row crops. During dry years agricultural production in the San Joaquin Valley uses about 53% of total applied water in the state. Implementation of California's Sustainable Groundwater Management Act (SGMA) will restrict groundwater pumping, likely reducing irrigated agricultural land use resulting in conversion to alternative land uses. To promote collaborative and inclusive efforts to repurpose agricultural land, California's legislature established a funding program administered by the Department of Conservation, the Multibenefit Land Repurposing Program (MLRP), in 2021. To ensure that land repurposing plans under the MLRP and SGMA represent San Joaquin Valley community needs this paper examines public perceptions of future land uses under SGMA through a phone survey. Respondents (n = 197) were recruited through a stratified random sample of mobile numbers registered within communities in the San Joaquin Valley classified as disadvantaged communities (DACs) (n = 32). Our results show that most respondents were somewhat (33%) or not at all (54%) familiar with SGMA, highlighting the need for outreach efforts to overcome barriers to representation, translation, and education about future water and land use decisions. Survey respondents identified secure water supplies (e.g., groundwater recharge) (35%) and less-water intensive agriculture (27%) as their top land use priorities to address groundwater overdraft under SGMA, indicating that the status quo for land use is preferred to alternative land uses. Preference for maintaining agriculture as primary land use (27%), we correlated with agricultural identity and lack of interest in community or global benefits such as schools and climate change mitigation. The findings from this study underscore the local variability in land use values and the importance to engaging local communities in land use decision-making, especially as they relate to changing current practices toward a more climate-resilient but agriculturally productive future with less land and less water.
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Agua Subterránea , Abastecimiento de Agua , Ambiente , Agricultura , Granjas , CaliforniaRESUMEN
Evolutionary understanding is central to biology. It is also an essential prerequisite to understanding and making informed decisions about societal issues such as climate change. Yet, evolution is generally poorly understood by civil society and many misconceptions exist. Citizen science, which has been increasing in popularity as a means to gather new data and promote scientific literacy, is one strategy through which people could learn about evolution. However, despite the potential for citizen science to promote evolution learning opportunities, very few projects implement them. In this paper, we make the case for incorporating evolution education into citizen science, define key learning goals, and suggest opportunities for designing and evaluating projects in order to promote scientific literacy in evolution.
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Ciencia Ciudadana , Cambio Climático , Participación de la Comunidad , Humanos , Aprendizaje , AlfabetizaciónRESUMEN
BACKGROUND: The spread and severity of the COVID-19 pandemic have been to such an extent that to shape an effective, collective response, governments need the participation of society and the cooperation of a wide range of civil society organizations and institutions. The objective of this study was to identify the activities of non-governmental organizations (NGOs) in response to the covid-19 pandemic in Iran and the challenges they confronted. METHODS: We conducted a qualitative analysis based on twenty-two individual, virtual, and semi-structured interviews. Interviewees were selected through purposeful and snowball sampling. All interviews were performed with active health-related NGO representatives willing to participate in the study and continued until data saturation. Data analysis was performed using qualitative content analysis. RESULTS: The activities and challenges raised by NGO representatives were identified in 6 main categories, including the need for the participation of NGOs in the fight against pandemics, response to the COVID-19 crisis in the society, challenges in providing services to the target group in the COVID-19 crisis, NGOs challenges in interacting with governmental and non-governmental institutions, information sources used by NGOs in the COVID-19 crisis and strategies to support NGOs in their efforts. CONCLUSION: Considering the crucial challenges for their participation, such as the NGO access to the target groups, lack of communication network, and constructive interaction between government institutions and the NGOs, it is recommended to increase the capacity of these institutions and intervene to establish a constructive and long-term relationship with the government.
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COVID-19 , COVID-19/epidemiología , Atención a la Salud , Humanos , Irán/epidemiología , Organizaciones , Pandemias/prevención & controlRESUMEN
The social amplification of risk framework (SARF) was developed to help comprehend how emerging contributions about the psychological, social, and cultural dimensions of risk could work in unison to impact decision making about risk. The framework proposed that risks are amplified or attenuated by interested parties employing different rhetorical strategies to give information about risk a certain "spin." The original literature identified four "attributes of information." However, despite the longevity of the framework, these have not been explicated in detail. Here we add depth and clarity by examining how amplification stations send risk signals that amplify or attenuate risk by emphasizing these different attributes of information. Drawing on a wealth of qualitative data from two case studies of offshore wind turbine siting off the coasts of Maryland and Delaware and guided by an extensive literature review, we reveal the strategies interested parties are using to influence siting decisions and risk management. The paper explores the usefulness of SARF in organizing qualitative information and sharpening insights on participatory risk governance and the nuances of public responses to a relatively new low-carbon technology. The authors conclude that the framework is valuable for analyzing stakeholder information while also recognizing limitations that may be addressed with some targeted future research.