Understanding Autonomous Shuttle Adoption Intention: Predictive Power of Pre-Trial Perceptions and Attitudes.

The capability of 'demand-responsive transport', particularly in autonomous shared form, to better facilitate road-based mobility is considered a significant advantage because improved mobility leads to enhanced quality of life and wellbeing. A central point in implementing a demand-responsive transit system in a new area is adapting the operational concept to the respective structural and socioeconomic conditions. This requires an extensive analysis of the users' needs. There is presently limited understanding of public perceptions and attitudes toward the adoption of autonomous demand-responsive transport. To address this gap, a theory-based conceptual framework is proposed to provide detailed empirical insights into the public's adoption intention of 'autonomous shuttle buses' as a form of autonomous demand-responsive transport. South East Queensland, Australia, was selected as the testbed. In this case study, relationships between perceptions, attitudes, and usage intention were examined by employing a partial least squares structural equation modeling method. The results support the basic technology acceptance model casual relationships that correspond with previous studies. Although the direct effects of perceived relative advantages and perceived service quality on usage intention are not significant, they could still affect usage intention indirectly through the attitude factor. Conversely, perceived risks are shown to have no association with perceived usefulness but can negatively impact travelers' attitudes and usage intention toward autonomous shuttle buses. The research findings provide implications to assist policymakers, transport planners, and engineers in their policy decisions and system plans as well as achieving higher public acknowledgment and wider uptake of autonomous demand-responsive transport technology solutions.

Differences in and Correlates of Sexual Function in Infertile Women with and without Polycystic Ovary Syndrome.

BACKGROUND: The aim of this study was to examine sexual function and its correlates among infertile women with polycystic ovary syndrome (PCOS) in comparison with their non-PCOS counterparts. MATERIALS AND METHODS: In this case-control study, 209 infertile women (116 PCOS and 93 non-PCOS) from Tehran, Iran, were evaluated in February and March 2018. Female sexual function index (FSFI), hormonal status, and documented reports of hyperandrogenic manifestations of the patients were investigated. RESULTS: The mean age of the patients was 32.00 ± 5.00 years old. Eighty-four (40.2%) patients including 42.2% of the PCOS patients and 37.6% of the non-PCOS cases (P>0.05), were suspected of female sexual dysfunction (FSD). The most impaired functions in both groups were desire and arousal. Sexual function was not significantly different between the groups. However, PCOS women had more orgasm problems and acne worsened their sexual function. Total FSFI was positively associated with prolactin level but negatively associated with central obesity in the non-PCOS group; it was negatively correlated with marital duration in the PCOS group. Luteinizing hormone (LH) and pain, prolactin level and lubrication, and central obesity and arousal were correlated in the non-PCOS women. Prolactin level and orgasm, marital duration and arousal, and marital duration and the total FSFI were correlated in the PCOS women. CONCLUSION: Sexual function was similarly low in infertile PCOS and non-PCOS women. However, orgasm problems and the negative effect of acne varied between the two groups. Further investigations may target how hormonal profile may affect sexual function. Practitioners should scrutinize the specific impaired sexual domains and their correlated conditions in PCOS women, notably orgasm, acne, and prolactin level. Interventions should be well tailored based on particular needs of infertile PCOS women.

Association of depression with sexual function in women with history of recurrent pregnancy Loss: descriptive-correlational study in Tehran, Iran.

PURPOSE: The present study aimed to investigate the relationship between depression and sexual function in women with recurrent pregnancy loss. METHODS: In a cross-sectional correlational study, 130 consecutive patients with history of recurrent pregnancy loss were included who referred to Avicenna Fertility Center in Tehran, Iran during November 2018-February 2019. The outcomes were sexual dysfunction (Assessed with the Female Sexual Function Index) and depression (Evaluated with the Beck's Depression Inventory). The study data were analyzed by using Mann-Whitney and Kruskal-Wallis tests. RESULTS: The study findings revealed that 40.8% of the participants suffered from some degrees of depression. The data analysis revealed that depression had a significant inverse correlation with sexual function and its domains (r = - 0.392, p < 0.001, R2= 0.15). The spouse' education level and economic status demonstrated a significant relationship with women's sexual function (p = 0.01, p = 0.033). A significant relationship was also detected between women's depression and economic status (p = 0.028). CONCLUSIONS: The study findings showed that women with RPL who had severe depression indicated lower score of sexual function. Since psychological and sexual problems are not reported to health care providers due to giving priority to fertility issues or considering such issues as taboos, the assessment of sexual and mental health needs to be part of the consultation in women with history of RPL, whether the patient seeks help for depression and sexual dysfunction or not.