Influence of perceived stress on fertility intention among women of childbearing age without children: multiple mediating effect of anxiety, family communication and subjective well-being.

BACKGROUND: In recent years, there has been a significant decrease in the desire to have children among Chinese women of childbearing age, particularly for the first child. This trend has sparked a growing interest in understanding the underlying factors. Although perceived stress has been speculated as an important factor in decreasing fertility intention, the precise mechanism is unclear. The current study, therefore, aims to investigate the psychological mechanisms linking perceived stress to fertility intentions among women of childbearing age without children, a topic of significant relevance and importance. METHODS: Data were sourced from Chinese residents' psychology and behavior investigation (PBICR-2022). A multistage random sampling method was applied to recruit eligible participants. The Mplus8.3 software constructed a chain path model among the variables. RESULTS: The median fertility intention was 30(3-60) on a scale of 0 to 100. The mediation analysis revealed a significant negative influence of perceived stress on fertility intention (ß = - 0.076, P < 0.001). Additionally, a more intricate pattern of chain-mediating effect was observed involving perceived stress, anxiety (ß = 0.037, P < 0.05), family communication (ß = 0.106, P < 0.001), subjective well-being (ß = 0.088, P < 0.001) and fertility intention. CONCLUSIONS: Perceived stress not only directly suppressed fertility intention but also indirectly affected it through anxiety, family communication, and subjective well-being. Effective family communication and favorable subjective well-being emerged as factors that could augment fertility intentions among women of childbearing age without children.

The Role of Negative Age Stereotypes and Sociodemographic Factors in the Intention to Leave Among German University Hospital Nursing Staff.

Staff shortages are a global problem in the nursing profession. Negative beliefs about older workers may have detrimental effects on the development and performance capacity of an aging workforce. To date, little is known about the impact of age stereotypes and potential factors on nurses' intent to leave (ITL). Therefore, the aim of our study was to assess intention to leave and potential predictors (eg, sociodemographic characteristics and age stereotypes) in a large representative sample of nurses in a German university hospital setting. A total of 423 nurses at the University Hospital of Heidelberg participated in a cross-sectional questionnaire study assessing sociodemographic data, age stereotypes using the "Beliefs About Older Workers" questionnaire, and participants' intentions to leave and give up their profession. Questionnaires were returned by 423 nurses (13.7% response rate). The results revealed that negative age stereotypes were highly prevalent. Significant correlations between age and negative age stereotypes were found, indicating that the younger the nurses were, the more negative their age stereotypes were. Most nurses with negative age stereotypes had no intention to leave their profession; however, the majority of nurses could not imagine working in the profession until they retired. Despite the low response rate, the results of the current study suggest that organizational and societal measures to reduce age stereotypes should be directed at newcomers and young nurses to retain them in the profession in the long term.

Mechanism Linking Cigarette Pack Factors, Point-of-Sale Marketing and Individual Factors With Smoking Intention Among School-Going Adolescents.

CONTEXT: Tobacco usage accounts for one of the most preventable causes of death. OBJECTIVE: This study aimed to explore mechanisms linking cigarette pack factors, point-of-sale marketing, and individual factors (psychological reactant trait) to predict smoking intention among school-going adolescents. DESIGN, SETTING, AND PARTICIPANTS: This was a cross-sectional study conducted among 6 urban secondary schools. A pretested and validated self-administered questionnaire was used. Data analysis for structural equation modeling was done using SMART-PLS v3.2.8. MAIN OUTCOME MEASURE: The main outcome measure was to determine the direct and indirect effects of cigarette pack factors, point-of-sale marketing, and individual factors (psychological reactant trait) to predict smoking intention among school-going adolescents in a theory-based model. RESULTS: A total of 386 adolescents fulfilling the inclusion criteria participated. Pictorial warning message reactance (ß = .153, P  ≤ .001), pack receptivity of conventional pack (ß = .297, P  = .004), and psychological reactant trait (ß = .174, P  ≤ .001) were positively related to smoking intention. Pictorial warning negative affect (ß = -.153, P  = .001) was negatively related to smoking intention. The psychological reactant trait was positively related to message reactance (ß = .340, P  ≤ .001). However, recall exposure to point-of-sale marketing and pack appraisal of conventional pack was not positively related to smoking intention (ß = .038, P  = .22 and ß = -.026, P  = .39, respectively). Pictorial warning message reactance also positively mediates the relationship between psychological reactant trait and smoking intention (ß = 0.05, p = .001). The model has strong predictive power. CONCLUSION: In conclusion, cigarette pack factors and psychological reactant traits are essential in predicting smoking intention. Hence, policymakers should consider these factors in developing smoking policies.

The effect of electrical muscle stimulation on intentional binding and explicit sense of agency.

The motivating question for this study is determining whether electrical muscle stimulation (EMS)-induced movements can extend the user's ability without reducing the sense of agency. Moreover, it is crucial to find the timing of the EMS application that is robust against individual differences and environmental changes. Previous studies have reported that the user-specific EMS-application timings, determined through explicit measures of sense of agency, would effectively shorten their reaction time in a push task while maintaining their sense of agency. However, no study has investigated EMS-application timings in relation to implicit measures of sense of agency. Intentional binding, an example of an implicit measure, refers to the phenomenon whereby the interval between an intentional action and the subsequent perceptual outcome is typically perceived to be shorter than the actual interval. By measuring this perceptual shift using a Libet clock, we have identified an EMS-application timing that accelerates the users' push action while maintaining their sense of agency. First, to conduct the EMS-application experiment while appropriately maintaining the intentional binding effect, we designed a new push task such that a pre-action, as the base timing of the EMS-application trigger, always occurs just before the push movement. (1) We showed the difference between the action-binding effect of EMS-induced involuntary movements and voluntary push movements. Subsequently, (2) we identified the EMS application timing that significantly shifted judgments of action tasks while accelerating voluntary movements. Additionally, (3) we demonstrated that the EMS application could accelerate user pushing movement while maintaining the sense of agency at this specific application time. The proposed EMS in the novel pushing setup was found to be robustly effective against individual and environmental changes.

Temporal neural dynamics of understanding communicative intentions from speech prosody.

Understanding the correct intention of a speaker is critical for social interaction. Speech prosody is an important source for understanding speakers' intentions during verbal communication. However, the neural dynamics by which the human brain translates the prosodic cues into a mental representation of communicative intentions in real time remains unclear. Here, we recorded EEG (electroencephalograph) while participants listened to dialogues. The prosodic features of the critical words at the end of sentences were manipulated to signal either suggestion, warning, or neutral intentions. The results showed that suggestion and warning intentions evoked enhanced late positive event-related potentials (ERPs) compared to the neutral condition. Linear mixed-effects model (LMEM) regression and representational similarity analysis (RSA) analyses revealed that these ERP effects were distinctively correlated with prosodic acoustic analysis, emotional valence evaluation, and intention interpretation in different time windows; The onset latency significantly increased as the processing level of abstractness and communicative intentionality increased. Neural representations of intention and emotional information emerged and parallelly persisted over a long time window, guiding the correct identification of communicative intention. These results provide new insights into understanding the structural components of intention processing and their temporal neural dynamics underlying communicative intention comprehension from speech prosody in online social interactions.

Exploring the influence of Chinese online patient trust on telemedicine behavior: insights into perceived risk and behavior intention.

As a supplement to medical services, telemedicine is of great significance to alleviate the shortage of health resources in China. Based on the traditional consumer behavior measurement model the Technology Acceptance Mode/Theory of Planned Behavior (TAM/TPB), this paper divides online patient trust into six dimensions: perceived risk, personal trust tendency, doctors' credibility, hospitals' credibility, websites' credibility, and system guarantee. On this basis, a structural equation model (SEM) was used to explore the influence of each dimension of online patient trust on online patient intention, behavior choice, and pre-factors. A total of 582 valid questionnaires were distributed to selected patients with experience in using mobile healthcare services in the vicinity of hospitals and communities, as well as to users who shared their experiences in the discussion forums of mobile healthcare websites. The results show that online patient trust has a significant positive impact on telemedicine behavior intention selection, with a standardized path coefficient being as high as 0.866. Doctors' credibility, system guarantee, and website credibility have significant positive effects on online patient trust, with standardized path coefficients of 0.401, 0.260, and 0.226, respectively. Hospital trustworthiness and personal trust propensity have no significant effect on online patient trust. Perceived risk has a significant negative effect on online patient trust, with a standardized path coefficient of -0.118. The research findings suggest that health departments and mobile healthcare providers can enhance mobile healthcare services by considering the patients' perspectives, elevate their online trust levels, and foster a deeper understanding, safety consciousness, and confidence in telehealth services. On this basis, it can be concluded that only the participation of government, medical subjects, and online patients can effectively reduce perceived risks, improve perceived characteristics of online patients, enhance online patient trust, and promote the real willingness and behavior choice for online medical services, effectively improving the positive role of telemedicine in increasing health benefits to people.

The effect of education based on the theory of planned behavior to prevent the consumption of fast food in a population of teenagers.

BACKGROUND: Considering the increasing prevalence of fast food consumption among teenagers, providing the necessary training and self-awareness is the best solution for institutionalizing the prevention of fast food consumption by this group. Therefore, this issue should be taken seriously, as should the implementation of educational interventions to prevent the consumption of fast food. The theory of planned behavior (TPB) is one of the various health education styles and methods that works well. However, given that a number of local data points are crucial in establishing the efficacy of the model employed, this study looks into the impact of TPB-based education in preventing fast food intake among teenagers. METHODS: A total of 180 male students, ages 15 to 18, participated in this quasi-experimental study in Shiraz, Iran. Cluster sampling was used in the study, and participants were randomly assigned to two groups: the experimental group (n = 90) and the control group (n = 90). A theory-based questionnaire was used to gather data, and both the control and experimental groups had to complete it before and three months after the intervention. The data were examined using paired t, independent t, and chi-square statistical tests after being entered into SPSS-24. RESULTS: The results of the independent t-test showed that there was no significant difference between the two study groups before the intervention in terms of knowledge (P = 0.14), attitude (P = 0.57), subjective norms (P = 0.94), perceived behavioral control (P = 0.81), behavioral intention (P = 0.42), or behavior (P = 0.25). However, following the intervention, there was a significant difference between the two groups with regard to the noted variables (P = 0.001). Furthermore, the McNemar test results demonstrated that the experimental group's consumption of fast food varied significantly before and after the intervention (P = 0.001), but not in the control group (P = 0.07). CONCLUSION: The study's findings demonstrated that TPB-based treatments are successful in helping male students change their habits of consuming fewer amounts of fast food. This study demonstrated that the instructional techniques employed improved the fast food consumption behavior of the intervention group as well as the TPB's structure (attitude, subjective norms, behavioral intention, and perceived behavioral intention).

Notes from the Field: Support for Wastewater Monitoring and Influence on Protective Behavioral Intentions Among Adults - United States, July 2024.

In 2020, during the COVID-19 pandemic, CDC established the National Wastewater Surveillance System and later expanded it to include mpox and influenza A data dashboards.† Wastewater utility partners have cited community health benefits as a motivating factor for participating in wastewater surveillance; a lack of public support for wastewater surveillance activities might lead utility partners to cease participation (1,2). However, little is known about public support for wastewater monitoring and its influence on protective health behaviors. As innovative surveillance strategies such as wastewater surveillance evolve, ethical considerations, including understanding public perceptions regarding support for these activities and potential risks to communities, are essential (3).

Exploring the influence of historical storytelling on cultural heritage tourists' revisit intention: A case study of the Mogao Grottoes in Dunhuang.

The revisit intention of tourists has long been a focal point of academic inquiry. However, there is still insufficient research on the antecedents of revisit intention from the perspectives of historical storytelling, destination image and perceived value. Taking the Mogao Grottoes in Dunhuang, a UNESCO World Heritage Site, as a case study, this paper, based on stimulus-organism-response (SOR) theory, examines the impact of historical storytelling on the destination image, perceived value, and revisit intention. Additionally, it further explores the mediating role of destination image and perceived value, as well as the moderating effect of place attachment in this chain. The research findings indicate that: (1) Historical storytelling significantly enhances tourists' perception of the tourism experience and revisit intention; (2) The study supports the mediating effect of destination image and perceived value; (3) Place attachment has a significant positive moderating effect between historical storytelling and revisit intention. Effective historical storytelling can significantly enhance destination image and perceived value, improve tourists' participation and satisfaction in tourism, stimulate revisit intention, and promote the sustainable development of tourist destinations. These findings enrich the research content of cultural heritage tourism, providing valuable suggestions for improving the management level of cultural heritage tourism attractions and increasing visitors' revisit intention.

Towards environmental performance through responsible environmental intentions and behavior: Does environmental law cognition really matter among Chinese farmers.

Rapid agricultural expansion, marked by unsustainable practices, has contributed significantly to environmental degradation globally. In response to China's escalating environmental concerns, recent environmental legislation has sought to disseminate information and promote awareness of environmental preservation among residents. This study aims to investigate the influential role of citizen environmental intentions and activist environmental intentions on responsible behavior for achieving environmental performance (EP). Moreover, the moderating influence of these environmental laws on the relationship between environment-protecting intentions and behavior, with a focus on legal cognition. Utilizing a population of 3150 farmers we select 603 farmers using simple random sampling and, this study applies the theory of planned behavior within a structural equation model framework. The findings affirm that farmers' perceived behavior control, personal factors, and attitudes directly impact both citizen and activist intentions, subsequently influencing both types of environmental-oriented behavior. Notably, the study identifies a stronger inward attitude effect compared to the outward attitude in both types of farmers' intentions. Additionally, legal cognition among farmers emerges as a crucial moderator, influencing the link between environmental intentions and behavior. The results suggest that as farmers become more familiar with environmental laws, the direct effect of their intentions on environmentally oriented behavior intensifies. Hence, the legal obligations play an essential role in shaping the farmers' pro-environmental behavior. This study aligns the individual level environmental intentions with farmer's law cognition for offering interesting insights to develop and implement imminent environmental policies. Hence, this study benefits to both practitioners and policy makers' contextualizing Chinese agricultural sector.

The effects of entrepreneurial narrative on entrepreneurial intention: An affective events perspective.

Entrepreneurial narrative has been used in the entrepreneurship education process to develop students' entrepreneurial intention. However, previous research has less knowledge about the mechanisms between entrepreneurial narrative and entrepreneurial intention from an affective events perspective. We explore the effect of entrepreneurial narrative on entrepreneurial intention based on the theory of affective events theory. The sample of this study comprised 348 individuals who participated in entrepreneurship education in China. The results suggest that entrepreneurial narrative have a significant positive impact on college students' entrepreneurial intention. Additionally, the relationship between entrepreneurial narrative and entrepreneurial intention is mediated by entrepreneurial passion, and entrepreneurial support positively moderates the relationship between entrepreneurial passion and entrepreneurial intention.

Observers' motivated sensitivity to stigmatized actors' intent.

Does a harmful act appear more intentional-and worthy of opprobrium-if it was committed by a member of a stigmatized group? In two studies (N = 1,451), participants read scenarios in which an actor caused a homicide. We orthogonally manipulated the relative presence or absence of distal intent (a focus on the end) and proximal intent (a focus on the means) in the actor's mind. We also varied the actor's racial (Study 1) or political (Study 2) group. In both studies, participants judged the stigmatized actor more harshly than the non-stigmatized actor when the actor's level of intent was ambiguous (i.e., one form of intent was high and the other form of intent was low). These data suggest that observers apply a sliding threshold when judging an actor's intent and moral responsibility; whereas less-stigmatized actors elicit condemnation only when they cause the outcome with both types of intent in mind, more-stigmatized actors elicit condemnation when only one type, or even neither type (Study 2) of intent is in their mind. We discuss how these results enrich the literature on lay theories of intentionality.

Workplace violence and turnover intention among Chinese nurses: the mediating role of compassion fatigue and the moderating role of psychological resilience.

BACKGROUND: Workplace violence is a global public health issue and a major occupational hazard cross borders and environments. Nurses are the primary victims of workplace violence due to their frontline roles and continuous interactions. OBJECTIVE: The present study aimed to investigate the status of workplace violence, turnover intention, compassion fatigue, and psychological resilience among Chinese nurses, and explore the mediating role of compassion fatigue and the moderating role of psychological resilience on relationship between workplace violence and turnover intention among Chinese nurses. METHOD: A cross-sectional study was conducted among a convenience sample of clinical registered nurses from public hospitals in Changsha, Hunan, China. Data was collected through an online questionnaire, which included a demographic information form, the Workplace Violence Scale (WVS), the Turnover Intention Questionnaire (TIQ), the Compassion Fatigue Scale (CF-CN), and the Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics and correlation analysis were employed to examine the relationships among the main variables. A moderated mediation analysis was further conducted using the PROCESS macro for SPSS (Model 4 and Model 8) to examine the mediating role of compassion fatigue and the moderating role of psychological resilience. RESULT: The present survey recruited a convenience sample of 1,141 clinical registered nurses, who reported experiencing multiple types of workplace violence during the past year. Correlation analysis revealed significant positive correlations between workplace violence and turnover intention (r = 0.466, P < 0.01) as well as compassion fatigue (r = 0.452, P < 0.01), while negative correlation between workplace violence and psychological resilience (r=-0.414, P < 0.01). Moderated mediation analysis revealed that compassion fatigue mediated, while psychological resilience moderated, the positive relationship between workplace violence and turnover intention (all P < 0.05). CONCLUSION: This study underscores the mediating effect of compassion fatigue and the moderating role of psychological resilience in the relationship between workplace violence and turnover intention among Chinese nurses. Future efforts should be undertaken to develop effective preventive measures and intervention strategies at individual, organizational, and national levels to mitigate workplace violence and foster supportive work environment. CLINICAL TRIAL NUMBER: Not applicable.

Gastric Cancer Screening: Intention to Adhere and Patients' Perspective.

BACKGROUND AND AIMS: Gastric cancer (GC) is the third cause of cancer mortality worldwide. A screening strategy that combines an upper gastrointestinal endoscopy (UGIE) with a screening colonoscopy may be cost-effective in intermediate-risk regions. This study aimed to evaluate the intention to adhere to combined endoscopic screening and assess knowledge of GC symptoms, risk factors, and barriers to screening. METHODS: Cross-sectional study enrolling individuals eligible for CRC screening in northern Portugal, where a populational fecal occult blood test (FOBT) program is implemented. The validated PERCEPT-PREVENT tool was applied across three groups: (a) not yet invited to CRC screening, (b) FOBT-positive referred to colonoscopy, and (c) primary colonoscopy screening. RESULTS: A high acceptance rate was observed for combined endoscopic screening (94%; n = 264) [not yet invited to CRC screening 98% (n = 90) vs. FOBT-positive referred to colonoscopy 90% (n = 103) vs. primary colonoscopy 97% (n = 71); p = 0.017], with the vast majority reporting intention to adhere in the setting of full reimbursement (97%; n = 255). Most respondents were unaware of any possible GC symptom (76%; n = 213), risk factor (73%; n = 205), and UGIE-related complication (85%; n = 237). Regular follow-up with the primary care physician (Odds Ratio (OR) 27.59, 95% confidence interval (CI) 2.99-254.57), lower perceived negative health consequences of UGIE (OR 1.40, 95% CI 1.13-1.74), and lower perceived financial burden (OR 2.46, 95% CI 1.04-5.85) were the only factors independently associated with a higher intention to undergo combined screening. CONCLUSIONS: Willingness to undergo combined endoscopic screening was notably high and positively impacted by lower perceived barriers. Additional efforts should be undertaken to improve levels of digestive health literacy.

Factors related to the intention of choosing shared E-scooters for metro transfer: A survey study integrating weather perception into satisfaction evaluation from Changsha.

Shared E-scooter (SE) travel is a low-carbon transportation method that can be further enhanced by integrating with metro systems. This study aims to quantify the impact of the built environment, attitude preferences, weather perception, and other factors on the evaluation and intention to use the "SE-metro transfer" travel mode, as well as how to efficiently and concisely measure and model these effects. Empirical analysis was conducted using questionnaire data from Changsha, China, with 683 participants surveyed. Three satisfaction models were established and compared based on the Technology Acceptance Model (TAM), and an optimal M2 model was expanded to incorporate users' subjective perceptions of weather, proposing a method to simplify questionnaire length. The study found that well-designed vehicles and infrastructure, along with necessary supporting facilities, play important roles in enhancing SE usage. However, there are still many areas for optimization in Changsha's SE policies. Despite the advantages of SE in terrain and physical fitness, which have significantly expanded and changed their user base compared to traditional shared bicycles, there is still much potential to adapt to the middle-aged and older user groups. The results of this study can provide valuable insights for professionals and government officials in designing systems, constructing infrastructure, and formulating policies.

Factors related to evacuation intention when a Level 4 evacuation order was issued among people with mental health illnesses using group homes in Japan: A cross-sectional study.

This study aimed to identify factors related to the intention to evacuate in a disaster following a Level 4 evacuation order among people with mental health illnesses living in group homes in Japan. The participants were people with mental health conditions living in group homes in Ishikawa Prefecture, Japan. We created an original self-administered questionnaire and conducted a survey among this group. Of the 625 people with mental health conditions using group homes, 152 (24.3%) responded. Of these, 110 (5.9%) who provided valid data were included in the analysis. A total of 85 (77.3%) people said that they intended to evacuate in the event of a Level 4 evacuation order. We controlled for gender, age group, type of disability, experience of participating in disaster training, fear of contracting COVID-19 during evacuation, and earthquake and flood disaster experience as confounders. After controlling for these variables, the factors associated with intention to evacuate under a Level 4 evacuation order included not having emergency food prepared (odds ratio [OR] 3.81, 95% confidence interval [CI]: 1.03-14.08); believing that group home users would help them during disasters (OR 3.08, 95% CI: 1.04-9.12); and planning to ask the local government for help (OR 2.84, 95% CI: 1.01-8.01). Group home managers should be aware that people who do not believe that other group home residents would help them, and those not wishing to seek help from local government, may decide not to evacuate. Longitudinal studies across diverse regions are needed to identify factors that affect evacuation intention.

COVID-19 vaccination receipt and intention to vaccinate among adults with disabilities and functional limitations, United States.

BACKGROUND: People with disabilities are at increased risk for severe COVID-19 health outcomes and face barriers accessing COVID-19 vaccines. The aim of this study is to examine receipt of ≥ 1 dose of the COVID-19 vaccine, intention to vaccinate in the future, and reasons for not vaccinating among people with disabilities and functional limitations using a large, nationally representative dataset of adults in the United States. METHODS: Data were analyzed from the Census Bureau's Household Pulse Survey (14-26 April 2021, n = 68,913). Separate logistic regression models were conducted to examine the association between each disability (vision, hearing, cognition and mobility), overall disability status, and functional status on ≥1 dose COVID-19 vaccination receipt and intention to vaccinate. Furthermore, reasons for not getting vaccinated were examined among those with disabilities or functional limitations. RESULTS: Approximately 13% of adults reported having a disability, and almost 60% reported having some or a lot of functional limitations. Over 65% of adults with disabilities had received ≥1 dose of COVID-19 vaccines, compared to 73% among adults without disabilities (adjusted prevalence ratio = 0.94). Among adults with disabilities, those who were younger, had lower educational attainment and income, did not have insurance and had a prior history of COVID-19 were less likely to get vaccinated or intend to get vaccinated than their respective counterparts. The main reasons for not getting vaccinated were concerns about possible side effects (52.1%), lack of trust in COVID-19 vaccines (45.4%) and lack of trust in the government (38.6%). DISCUSSION AND CONCLUSION: Efforts to ensure high and equitable vaccination coverage include working with communities to strengthen the message that the vaccine is safe and effective, educating health professionals about the need to recommend and promote vaccines, and making vaccination sites more accessible for people who need additional accommodations.

Association between pregnancy intention and completion of newborn and infant continuum of care in Sub-Saharan Africa: systematic review and meta-analysis.

BACKGROUND: The newborn and infant continuum of care such as essential newborn care, early initiation and exclusive breastfeeding, and immunisation are highly recommended for improving the quality of life and survival of infants. However, newborn and infant mortality remains high across Sub-Saharan African countries. While unintended pregnancies are associated with adverse newborn and infant health outcomes, there is inconclusive evidence on whether pregnancy intention influences newborn and infant continuum of care completion. Therefore, this review aimed to pool findings reported in the literature on the association between pregnancy intention and newborn and infant health care across the continuum of care in Sub-Saharan Africa. METHODS: We searched MEDLINE Complete, EMBASE, CINAHL Complete, and Global Health databases for studies potentially eligible for this systematic review and meta-analysis. Two researchers independently screened the identified articles by abstract and title, and then full-text using Covidence. We used the Newcastle-Ottawa Scale to assess the quality of the included studies. The Cochran's Q test and I2 were executed to detect and quantify the presence of statistical heterogeneity in the studies. Meta-analysis was done for each outcome when more than one original study reported relevant data, using Stata statistical software version 18. RESULTS: Eleven studies were included from a total of 235 articles identified by the search. The odds of completing essential newborn care (pooled odds ratio: 3.04, 95% CI: 1.56, 5.90), early initiation of breastfeeding (pooled odds ratio: 1.30, 95% CI: 1.13, 1.52), exclusive breastfeeding (pooled odds ratio: 2.21, 95% CI: 1.68, 2.89), and being fully immunised (pooled odds ratio: 2.73, 95% CI: 1.16, 6.40) were higher among infants born to women with intended pregnancies as compared to women with unintended pregnancies. CONCLUSION: Intended pregnancy was positively associated with essential newborn care completion, early initiation and exclusive breastfeeding, and full immunisation of infants in SSA countries. Thus, policy-makers and stakeholders should strengthen the provision of quality family planning services to prevent unintended pregnancy. Furthermore, follow-up of women with unintended pregnancies is needed to increase women's opportunity to access essential newborn health care services that further reduce the risk of newborn and infant morbidity and mortality. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration number CRD42023409148.

Impact of Five Types of Front-of-Package Nutrition Labels on Consumer Behavior among Young Adults: A Systematic Review.

The World Health Organization (WHO) recommends that governments promote and implement front-of-package (FoP) nutrition labels to prevent noncommunicable diseases. Recently, additional research has focused on various views on FoP label creation. However, few review studies have examined how different FoP labels affect young consumer behavior. Therefore, this study thoroughly analyzed the evidence on how FoP labels in five categories affect young consumer purchasing intention and behavior. We searched for keywords in the Web of Science, Scopus, and EBSCO databases and screened study samples according to inclusion and exclusion criteria. Fourteen studies that matched the criteria were included in this review. We discovered that numerous studies support the efficacy of the "graded indicators" category labels, with the "color-coded" and "positive logos" categories trailing closely behind. The effectiveness of the "warning" FoP label category is mixed on consumers' healthy purchasing behavior and intention. The numerical FoP labels were most commonly used to indicate ineffectiveness. Future studies should investigate the effects of FoP labels on various subpopulations and conduct thorough evaluations of the design elements of FoP labels. Also, they should offer evidence-based recommendations, supported by both quantitative and qualitative data, for regions that have not yet implemented FoP labeling systems.

Factors influencing farmers' intention to participate in the voluntary carbon market: An extended theory of planned behavior.

Carbon sequestration in agricultural soils is essential for sustainable agriculture, contributing to the achievement of the Sustainable Development Goals and combating climate change. The Voluntary Carbon Market (VCM), designed to encourage farmers to implement sequestration practices, is a recent innovation in Europe, in contrast to the well-established American system. Consequently, there is limited understanding of farmers' intentions to participate. The study analyzes farmers' willingness to participate in VCM and the influencing factors through the Extended Theory of Planned Behavior (ETPB). For this purpose, data were collected from 241 Italian farmers located in the Sicily region and the partial least squares structural equation model (PLS-SEM) was applied. The results show that Attitude, Perceived Behavioral Control and Knowledge of VCM have a statistically significant influence on farmers' intention to participate in VCM. In contrast, Subjective Norms and Perceived Environmental Risk do not have a statistically significant influence. Our findings suggest that farmers' intention is strongly influenced by confidence in their capabilities and knowledge of the topic. This should guide policymakers and practitioners to offer extension services and technical assistance, helping farmers understand the potential of the VCM. Indeed, limited knowledge is a major barrier to participation in this initiative.