Valuing stakeholder preferences for environmental benefits of stormwater ponds: Evidence from choice experiment.

With population growth driving urban expansion in many cities in the United States, there is a need for a sustainable way to manage stormwater. Green stormwater infrastructure (GSI) is considered an innovative way to handle stormwater because of its potential to provide multiple ecosystem services (ES) beyond flooding reduction. However, there is limited research regarding the society's perceived value for GSI practices' co-benefits. This study utilized stated-preference data obtained from a choice experiment in an online survey of 1159 South Carolina (SC) residents to estimate a monetary value for the ES provided by wet detention ponds- the most widely adopted stormwater practice in coastal counties of SC. The benefits examined are flooding reduction, water quality, wildlife habitat, recreation, and scenic beauty. The data were analyzed using a Mixed logit formulation. Considering the differences across the state, the model was estimated separately for five counties. Findings indicate that residents are willing to pay $13.8 to $37.8 annually for a 50% improvement in pollutant removal efficiency of ponds in addition to their current stormwater fee. Also, they are willing to pay $12.5 to $42.9 per year for the nearest pond to have buffer vegetation and wildlife. They are also likely to pay $5 to $22.5 for ponds to contribute to their neighborhood's scenic beauty. Furthermore, the results indicate that respondents from three counties are willing to pay $5.4 to $13.2 for a 50% improvement in flooding reduction, while those from two counties are likely to pay $3.9 to $4.9 for ponds to have recreational benefits. The findings of the study could help stormwater managers in designing their stormwater management programs, especially for better evaluation of stormwater utility fees.

Road safety attitude and behaviour among motorcycle riders in Ghana: A focus on traffic locus of control and health belief.

Road traffic accident is a leading cause of death and various life deformities worldwide. This burden is even higher among motorcycle riders in lower-to-middle-income countries. Despite the various interventions made to address the menace, the fatalities continue to be on the ascendency. One major area that has received little attention is the attitude and behaviour of motorcycle riders. The present study aimed to examine the contribution of traffic Locus of Control (LoC) and health belief on road safety attitude and behaviour. 317 motorcycle riders participated in the study. The participants completed a questionnaire comprising various sections such as motorcycle riding behaviour, road safety attitude, risk perception, the intention to use helmets, and traffic LoC. The results showed a significant positive correlation between road safety attitude and behaviour (r (295) = .33, p < .001). Drifting towards internal LoC was associated with more positive behaviour on the roads (r (295) = -.23, p < .001). Intention to use helmet, health motivation, perceived susceptibility, perceived benefits, and perceived barriers were the factors in the health belief model that were associated with road safety attitude (r (295) = .404, p < .001). Finally, the multiple linear regression model showed that road safety attitude and traffic LoC made significant contributions to road user behaviour [F(3, 293) = 13.73, p < .001]. These findings have important implications towards shaping responsible behaviour among motorcycle riders.

A qualitative examination of factors influencing pregnancy-related anxiety in Northern Ghana.

INTRODUCTION: Despite high prevalence of anxiety among pregnant women in low- and -middle-income countries, research on context-specific conceptualisation, measurement, and predictors of pregnancy-related anxiety (PrA) is limited in these contexts. We explored local conceptualisations of factors influencing PrA in the Northern Region of Ghana. METHODS: We conducted 15 focus group discussions with antenatal care seekers in the Mion District, Savelugu Municipality, and Tamale Metropolis of the Northern Region, in July and August 2021. Multistage stratified purposive sampling was used to select respondents (n = 108). The data were audio-recorded and transcribed, and then we conducted a thematic analysis of the data. RESULTS: At the individual level, fear of anaemia; pre-existing health conditions; challenges with daily activities; and physical, emotional, and sexual abuses from spouses contributed to PrA. Health system failures resulting in unexpected out-of-pocket payments, negative health worker attitudes, diagnostic errors, constraints on birth preparation and birth process, and potential adverse birth outcomes were understood as driving PrA. Socio-cultural factors influencing PrA comprised beliefs and practices around baby naming/outdooring ceremonies, fear of spiritual attacks, social construction of gender roles, and contextual factors such as transportation challenges. CONCLUSION: Pregnant women in the region understood, experienced, and could identify perceived predictors of PrA. To address PrA, we recommend that mental health services should be integrated into the basic package of antenatal care and rural health services should be improved. Perceived predictors of PrA identified here could be included in the design of a context-specific PrA measure for use in the region.

Analyzing Factors Enabling Prostate Cancer Screening Behaviors Among African American Males in the South Region Using the Andersen's Behavioral Model of Healthcare Services Utilization.

Prostate cancer is the second leading cause of cancer death among men in the United States, and African American men especially represent a high risk population for prostate cancer. Although the overall prostate cancer incidence rates have been declining since 1992, the average annual prostate cancer incidence rates among African American men were still higher than any other racial groups, and the mortality rates were 2.1 times higher than that of Caucasian men. This study examined what factors including cultural mistrust were related with the prostate cancer screening behaviors among African American males in the South East region. Out of 496 prostate educational seminar attendees, 304 volunteers completed the survey about the behaviors of prostate cancer, cultural mistrust for health providers and general health beliefs and health behaviors. Using Anderson's Behavioral Model of Health Services Use, hierarchical multivariate logistic regression analysis was conducted to identify which predisposing, enabling, and need factors could predict prostate cancer screening behaviors and whether there was any interaction effects among these predictors. Findings revealed that annual household income and annual health check-up were significantly related with the prostate cancer screening behaviors while the effect of health insurance was diminished among older African American males. Overall, results highlight the importance of financial resources as a determinant of prostate cancer screening behaviors among African American males implying the need of substantial support to overcome the obstacles from financial adversity.

Nutrition knowledge, dietary practices and nutritional status of non-academic staff at the Tamale campus of University for Development Studies.

BACKGROUND: The significance of nutritional status of individuals have economic effects on national development. Non-communicable diseases have shown to increase due to nutrition transition. This study aimed at determining the influence of nutrition knowledge and dietary practices on the nutritional status of non-academic staff at the Tamale campus of University for Development Studies (UDS). The question was, does poor nutrition knowledge result into poor dietary practices and nutritional status? METHODS: A cross-sectional study design was used to take data on 152 non-academic staff of UDS-Tamale campus comprising adults 18-59 years. Non-probability quota sampling was used to collect data. Data processing was done using SPSS version 21. Means and standard deviations were calculated for continuous variables whiles categorical variables were analysed using frequencies and percentages. Chi-square test was used to determine associations between categorical variables. A p-value < 0.05, in all analysis, was considered statistically significant. Semi-structured questionnaires were used in collecting data. Data was taken between May and June 2017. RESULTS: This study involved 93 males and 59 females' non-academic staff of UDS, Tamale campus. Majority (56%) had good nutrition knowledge of which most of the males had a high percentage compared to the females. Majority (81.6%) had a moderate dietary diversity. Only 15.1% had a higher dietary diversity and rest had low dietary diversity. Overweight and obesity together was 43.4%, though it was more prevalent among women. There was no statistically significant association between nutrition knowledge and overweight (p = 0.253) as well as between dietary diversity and nutritional status (p = 0.686). CONCLUSION: The prevalence of good nutrition knowledge was high among non-academic staff of UDS Tamale campus and most of them also had a moderate dietary diversity. The prevalence of overweight/obesity was 43% and nutrition knowledge was not associated with nutritional status. No association was established between dietary diversity and nutritional status.

Effect of a 2-day communication skills training on nursing and midwifery students' empathy: a randomised controlled trial.

INTRODUCTION: Empathy is crucial to the fundamental aim and achievement of nursing and midwifery goals. Researchers agree on the positive role empathy plays in interpersonal relationships when providing healthcare. Models of good communication have been developed to assist nurses, midwives and doctors to improve their ability to communicate with patients. This study investigated the effect of a 2-day communication skills training (CST) on nursing and midwifery students' empathy in a randomised controlled trial. METHODS: The two groups had a baseline data collection at the same time. The intervention group had a CST, followed by post-test on day 3. The control group had post-test on day 4 just before their CST. The empathy outcome was measured with Jefferson Scales of Empathy-Health Professions Student version. Both groups had a follow-up test at the same time 6 months after the CST. RESULTS: In this study, there was no statistically significant difference in the scores of empathy between the groups F(1, 171)=0.18, p=0.675. The intervention group had baseline T1 (M=109.8, SD=9.8, d=0.160), and post-test T2 (M=111.9, SD=9.0, d=0.201), whereas the control group had baseline T1 (M=107.9, SD=11.46, d=0.160), and post-test T2 (M=110.0, SD=11.0, d=0.201). Baseline data were collected on 15 June 2013. CONCLUSIONS: This study has shown that empathy may not be enhanced within a short period after CST.

Individual and public-program adaptation: coping with heat waves in five cities in Canada.

Heat Alert and Response Systems (HARS) are currently undergoing testing and implementation in Canada. These programs seek to reduce the adverse health effects of heat waves on human health by issuing weather forecasts and warnings, informing individuals about possible protections from excessive heat, and providing such protections to vulnerable subpopulations and individuals at risk. For these programs to be designed effectively, it is important to know how individuals perceive the heat, what their experience with heat-related illness is, how they protect themselves from excessive heat, and how they acquire information about such protections. In September 2010, we conducted a survey of households in 5 cities in Canada to study these issues. At the time of the survey, these cities had not implemented heat outreach and response systems. The study results indicate that individuals' recollections of recent heat wave events were generally accurate. About 21% of the sample reported feeling unwell during the most recent heat spell, but these illnesses were generally minor. Only in 25 cases out of 243, these illnesses were confirmed or diagnosed by a health care professional. The rate at which our respondents reported heat-related illnesses was higher among those with cardiovascular and respiratory illnesses, was higher among younger respondents and bore no relationship with the availability of air conditioning at home. Most of the respondents indicated that they would not dismiss themselves as "not at risk" and that they would cope with excessive heat by staying in air conditioned environments and keeping well hydrated. Despite the absence of heat outreach and education programs in their city, our respondents at least a rough idea of how to take care of themselves. The presence of air conditioning and knowledge of cooling centers is location-specific, which provides opportunities for targeting HARS interventions.