The psychology of pandemic policy support: unraveling the complex interplay of personal values and value congruence across 20 European countries.

OBJECTIVES: We explored the roles of personal values and value congruence-the alignment between individual and national values-in predicting public support for pandemic restrictions across 20 European countries. STUDY DESIGN: Cross-sectional study. METHODS: We analyzed multinational European survey data (N = 34,356) using Schwartz's values theory and person-environment fit theory. Multilevel polynomial regression was employed to assess the linear and curvilinear effects of personal values on policy support. Multilevel Euclidean similarity analysis and response surface analysis were conducted to evaluate the impact of value congruence and delineate nuanced congruence patterns. RESULTS: Findings revealed that extreme levels of security, conformity, stimulation, hedonism, and achievement values were associated with decreased policy support. Value congruence with security, conformity, and benevolence increased support, while congruence with stimulation, hedonism, and achievement reduced it. High congruence between personal and national social focus values significantly boosted policy support. Extreme mismatches in self-direction values amplified support. Societal power exceeding personal power also increased support. Matched levels of hedonism motivated greater support, while stimulation and achievement value (in)congruence showed little impact. CONCLUSIONS: We highlight the differential effects of personal values and value congruence on public attitudes toward pandemic restrictions. The findings underscore the importance of considering the interplay between individual and societal values when designing and implementing effective pandemic response strategies.

Homopositivity Across Europe: Predictors, Pathways, and Moderators.

Although homopositivity, the attitudinal acceptance of homosexuality, has generally increased across Western societies, there remains considerable homonegativity across certain regions of the world as well as certain demographic and socioeconomic groups. Although previous cross-national research has successfully identified the key factors affecting homopositive attitudes, the literature neglects both potentially key mediation pathways and moderating interactions between those factors that may unlock more nuanced understanding of these variations in homopositive attitudes across individuals and places. In response, the present study innovatively applied a multivariate structural equation modelling approach to the latest Wave 9 (2018 data) of the large-scale cross-national European Social Survey data in order to shed new light on these currently neglected predictors, pathways, and moderating influences on homopositive attitudes. It used a three-item latent variable to measure the homopositive attitudes outcomes construct. Its explanatory variables were focused across three key sets of factors identified in theoretical and empirical literature (socioeconomics, religiosity, and values) alongside various wider controls. Our analyses made several innovative methodological and empirical contributions to existing debate. Key innovative findings include the original identification of important indirect effects of religious beliefs on homopositive attitudes via religious practices, important indirect effects of education on homopositive attitudes via household income, and the role of national welfare regimes to homopositive attitudes (and with its effects interestingly not moderated by household income).

Scar effects of unemployment on generalised social trust: The joint impact of individual and contextual unemployment across Europe.

How does unemployment affect generalised social trust? A growing body of work has analysed the scar effects of unemployment on trust. However, this literature has not yet addressed the moderating role of contextual unemployment. In this article, we extend a theoretical framework positing that individual and contextual unemployment depress generalised social trust and formulate competing hypotheses on their interaction. We test these hypotheses relying on Rounds 4-9 (2008-2018) of the European Social Survey, for up to 29 countries and 227 regions. Results from three-level multilevel models indicate that individual and contextual unemployment are associated with lower trust, although at the macro-level this holds only for cross-sectional unemployment. At the macro-micro level, we find that lower cross-sectional unemployment rates powerfully exacerbate the individual association, while the latter becomes not significant at higher cross-sectional rates. These findings highlight that individual and contextual unemployment are central to illuminate social trust patterns.

The effect of serving as a danwei leader before retirement on self-rated post-retirement health: empirical evidence from China.

BACKGROUND: Worker health is often influenced by their occupation type, and the accumulative effect of occupation has a significant impact on their health after retirement. Studies show that the type and level of occupation before retirement directly impact workers' self-rated post-retirement health. However, there is little research on the self-rated post-retirement health of danwei leaders in China. This study seeks to examine the self-rated health level of Chinese danwei leaders after retirement. Furthermore, the differences between their self-rated health level and that of retirees from other occupations are explored by examining the accumulative effect of occupation and the mechanism underlying these differences. METHODS: Based on 5,910 samples' data from the 2018 China Longitudinal Aging Social Survey, ordinary least squares, logit, and propensity score matching models are used to investigate the self-rated health level of Chinese danwei leaders after retirement, their differences with other occupations, and the corresponding mechanism. RESULTS: The results show that retired danwei leaders have higher self-rated health levels than retirees in other occupations. This was mainly found among female, non-eastern, married, not living with children, and highly educated respondents. The difference in self-rated health between retired danwei leaders and other retired groups was influenced by their post-retirement income and social status. CONCLUSIONS: In China, retired danwei leaders rated their health higher than retirees from other occupations. Danwei leaders have high socioeconomic status due to their occupation. Compared with other groups, their advantages are significant and enjoyed for a long time. Additionally, most danwei leaders have high social influence even after retirement and their higher income and social status have a positive impact on their self-rated health compared with other employees. This study provides empirical evidence from China and extends current literature on the effects of occupational type and level on self-rated health after retirement.

The impact of the COVID-19 pandemic on the importance of urban green spaces to the public.

Green spaces provide people with countless intangible benefits, particularly important during crises. Restrictions imposed in many countries due to the COVID-19 pandemic forced people to maintain social distance, limit travels, and even refrain from visiting green spaces and stay at home at a certain point. The survey in one of the largest cities in Poland, Kraków, was intended to help understand the impact of the pandemic on the importance of urban green spaces to the public. The study focused on the first three stages of the pandemic in Poland, from March to November 2020. Nine weeks of the survey yielded over 1250 responses. Responses to spatial questions were analysed with GIS tools and geoprocessing algorithms. The number of visitors to green spaces during the pandemic fell to 78.9% of the population, which is down 13.1% compared to before the pandemic. At the same time, the percentage of people refraining from the visits fell with each phase of the crisis. According to the study, residents believed green spaces to be important for their mental and physical health. Over 75% of the participants considered visits to green spaces as having a very big or big impact on stress level reduction. The work provides empirical proof of the importance of green spaces to residents, particularly during a crisis. The results can affect urban spatial policies and management of green spaces and can potentially be applied in other cities.

[Associations between labor-related and socioeconomic factors and unmet healthcare needs among working women stratified by employment status].

Objectives　Using a nationally representative dataset, this study aimed to analyze associations between labor-related and socioeconomic factors and unmet healthcare needs among working women, stratified by employment status.Methods　Secondary data analyses were conducted on the data extracted for 639 working women, aged 20 to 65 years, from the 2,496-person dataset of the Japanese General Social Survey 2010 (JGSS-2010). First, unmet healthcare needs, labor-related factors (occupation, years of employment, working hours, and company size), and socioeconomic factors (age, marital status, number of children under 15 years age, education, and equivalent disposable income) were cross-tabulated by employment status. Second, logistic regression analyses were conducted, stratified by employment status, with experience of an unmet healthcare need as the objective variable and labor-related and socioeconomic factors as explanatory variables.Results　Of the total sample, 227 (35.5%) experienced an unmet healthcare need in the past year. There was no significant association between unmet healthcare needs and employment status. Labor-related and socioeconomic factors were strongly associated with employment status. Restricting women in regular employment and managerial positions, odds ratios (ORs) of having experienced an unmet healthcare need for those with 2-5 years of employment, 5-10 years and over 10 years, compared to under 2 years, were 3.91 (95% confidence interval (CI): 1.31-11.7), 2.86 (95%CI: 0.97-8.44), 1.99 (95%CI: 070-5.66), respectively. Among women in non-regular employment and others, adjusted ORs (aORs) of having experienced an unmet healthcare need in their 50s, 40s, 30s, and 20s compared to those in their 60s were 2.26 (95%CI: 0.99-5.16), 4.09 (95%CI: 1.70-9.82), 5.03 (95%CI: 1.90-13.30), and 5.32(95%CI: 1.87-15.10) respectively with younger age groups showing higher aORs. No significant association between other labor-related and socioeconomic factors and unmet healthcare needs was found.Conclusion　More than 30% of participants had experienced unmet healthcare needs in the past year. Although no association between employment status and unmet healthcare needs was found, aORs of having experienced an unmet healthcare need were significantly higher among regularly employed women at mid-career level and among non-regularly employed women of reproductive and child-rearing age. This implies differences in women's health issues due to employment status. It is considered necessary to provide health support, taking into account the individual's work situation and environment, along with their life stage and family relationships.

Throw BABE Out With the Bathwater? Canadian Atheists are No Less Healthy than the Religious.

The belief-as-benefit effect (BABE) is a broad term for the positive association between religion/spirituality (R/S) and health outcomes. Functionally, religious variables and religious identities predict greater wellness, which implies that atheists should report worse health relative to religious groups. Using Cycle 29 of the cross-sectional General Social Survey from Statistics Canada (N > 15,900), I explored health differences in stress, life satisfaction, subjective physical wellbeing, and subjective mental wellbeing across R/S identities (atheists, agnostics, Nones, Catholics, Protestants, Eastern Religions). Results indicated that (1). religious attendance, prayer, and religiosity were generally unrelated to all health outcomes for all R/S identities, (2). averagely religious atheists reported health parity with averagely religious members of all other R/S identities, and (3). when comparing a maximally nonreligious atheist group against several maximally religiously affiliated groups, atheists largely showed health parity. If both low R/S and high R/S are associated with comparable wellness, researchers should actively question whether R/S is genuinely salutary.

Testing the parasite-stress theory of sociality based on the circular model of human values: A multilevel analysis approach.

Little research has tested the parasite-stress theory of sociality based on a well-framed model of personal values using a multilevel analysis conducted on multinational samples. To robustly examined the validity of this novel theory of cultural evolution, this study used multilevel data of European Social Survey (from 2002 to 2016, 32 countries, N = 374,730) and World Values Survey (from 2005 to 2014, 80 countries, N = 173,540) to investigate the relationships between pathogen prevalence and the conflicting values dimensions (Conservation versus Openness to change; Self-enhancement versus Self-transcendence) of the circular model of human values, accounting for the micro- (age, sex, religious belief, education, and income) and macro-level predictors (modernization and cultural similarity). Results did not support the parasite-stress theory at both the country and individual levels when controlling for a composite index of modernization. Across all analyses, modernization remained a significant predictor of values even when controlling for cultural similarity. No conclusions changed when using an alternative parasite stress estimate. These findings support the modernization theory of value-change but challenge the roles of infectious diseases in cultural evolution.

[The medical social characteristics and evaluation of life quality of patients with diseases of blood circulation system].

The increasing of longevity and quality of life and population health are considered as the most important component of human development index. The diseases of blood circulation system have leading rank in morbidity, disability and mortality of population of Russia representing one of the most actual problems of health care. The diseases of circulatory system negatively effect on physical and mental health, emotional conditions and social components of life activities. All the mentioned results related to cardiovascular diseases can be detected and measured through evaluation of indices of life quality of patients. In Russia, the directive documents and national programs concerning health care modernization were adopted to rectify the unfavorable medical demographic situation on national level through decreasing of mortality, morbidity and disability due to diseases of circulation system. The purpose of the study is to analyze social hygienic characteristic and life quality of patients with diseases of circulation system during 5 years prospective cross-sectional medical statistical study in the Nizhni Novgorod Oblast at the base of the "Specialized Cardio-surgery Clinical Hospital" of Nizhni Novgorod. The study included all patients with certain corresponding criteria of involvement being at hospital treatment in the pilot medical organization. The sampling included 420 patients. The life quality inventory SF-36 and questionnaire were applied to respondents during their first and control (5 years later) visits. The questionnaire covered social and working status, presence of risk factors of cardiovascular diseases. The study demonstrated that among respondents made no control of cholesterol level 40.3%, arterial blood pressure - 16% that determines necessity of amelioration of sanitary education activities of population. The low level of income (less than 6000 rubles per one member of family) was marked by 42% of respondents. At that, 77% had financial problems with medications purchasing that testifies necessity in co-financing with the state. The results of the study testify the positive impact of implementation of target programs of prevention of cardiovascular diseases on the life quality of patients in the pilot subject of The Russian Federation. The original technique of sociological surveys and evaluation of life quality of patients can be applied at the regional level in development of managerial decision making.

Pornography and Relationship Quality: Establishing the Dominant Pattern by Examining Pornography Use and 31 Measures of Relationship Quality in 30 National Surveys.

Numerous studies have examined the association between pornography use and various measures of relationship quality. Yet scholars have also pointed out the limitations of many such studies, including inconsistent findings for men and women, non-representative samples, and negatively biased measures that could result in misleading findings. The purpose of this study was to establish a dominant pattern in the association between pornography use and relationship quality in a way that mitigated these issues. Data were taken from 30 nationally representative surveys, which together included 31 measures of relationship quality: 1973-2018 General Social Surveys (1 repeated measure); 2006 Portraits of American Life Study (13 measures); 2012 New Family Structures Study (12 measures); and 2014 Relationships in America Survey (5 measures). This allowed for 57 independent tests examining the association between pornography use and relationship outcomes for married Americans and 29 independent tests for unmarried Americans. Along with bivariate associations, full regression models were estimated with sociodemographic controls and interaction terms for gender. For married and unmarried Americans alike, pornography use was either unassociated or negatively associated with nearly all relationship outcomes. Significant associations were mostly small in magnitude. Conversely, except for one unclear exception, pornography use was never positively associated with relationship quality. Associations were only occasionally moderated by gender, but in inconsistent directions. While this study makes no claims about causality, findings clearly affirmed that, in instances where viewing pornography is associated with relationship quality at all, it is nearly always a signal of poorer relationship quality, for men and women.

Acceptability, motivation and the prospect of cure for people living with HIV and their healthcare providers in HIV cure-focused treatment interruption studies.

BACKGROUND: Analytical treatment interruptions (ATI) are commonly used clinical endpoints to assess interventions aimed at curing HIV or achieving antiretroviral therapy (ART)-free HIV remission. Understanding the acceptability of ATI amongst people living with HIV (PLHIV) and their HIV healthcare providers (HHP) is limited. METHODS: Two online surveys for PLHIV and HHP assessed awareness and acceptability of ATI, and understanding of the prospect for HIV cure in the future. Responses were collected from July 2017-January 2018. A descriptive analysis was performed and similar questions across the two surveys were compared using χ squared test. RESULTS: 442 PLHIV and 144 HHP completed the survey. 105/400 (26%) PLHIV had ever interrupted ART, 8% of which were in a clinical trial. Altruistic motivations were drivers of participation of PLHIV in cure related research. 81/135 (60%) HHP would support their patients wishing to enrol in an HIV cure-focused trial, but fewer would promote and allow such participation (25% and 31% respectively). Compared to HHP, PLHIV were more likely to believe that an HIV cure would be achievable within 10 years (55% vs. 19%, p < 0.001), had less awareness of ATI (46% vs. 62%, p < 0.001) and were less likely to have had experience of either participation or enrolment in an ATI study (5% vs. 18%, p < 0.001) CONCLUSION: PLHIV were more optimistic about the potential for HIV cure. HHP had more direct experience with HIV cure-focused studies. Educational strategies are required for both groups to increase understanding around ATIs in HIV cure research but should be tailored specifically to each group.

The Turnout Gap in Surveys: Explanations and Solutions.

Postelection surveys regularly overestimate voter turnout by 10 points or more. This article provides the first comprehensive documentation of the turnout gap in three major ongoing surveys (the General Social Survey, Current Population Survey, and American National Election Studies), evaluates explanations for it, interprets its significance, and suggests means to continue evaluating and improving survey measurements of turnout. Accuracy was greater in face-to-face than telephone interviews, consistent with the notion that the former mode engages more respondent effort with less social desirability bias. Accuracy was greater when respondents were asked about the most recent election, consistent with the hypothesis that forgetting creates errors. Question wordings designed to minimize source confusion and social desirability bias improved accuracy. Rates of reported turnout were lower with proxy reports than with self-reports, which may suggest greater accuracy of proxy reports. People who do not vote are less likely to participate in surveys than voters are.

Risky health behaviours and socioeconomic inequalities in European countries: new insights from European Social Survey.

OBJECTIVES: This paper explores education-, income- and occupational class-related inequalities in risky health behaviours including into models all three factors together as well as their interactions, which has not been undertaken by previous studies analysing socioeconomic status (SES) related differences in risky health behaviours. METHODS: Our data source is the special module "Social Inequalities in Health" included into the European Social Survey Round 7 (ESS R7) and conducted in 20 European countries. We run nine separate multilevel binomial logistic regression analyses for all the risky health behaviours with all our independent and control variables including country as the second level random intercept. Into all the models we also included interaction terms to consider possible moderating effects of separate independent variables. RESULTS: Education and income emerged as factors most consistently related to risky health behaviours, but occupational class differences were also found to be significant: eating vegetables or salad less than once a day and being daily smoker is positively related to lower SES as measured by all three indicators; eating fruits less than once a day is related to lower income and occupational class, while drinking alcohol at least several times a week is positively related to higher education and higher income; being physically active for less than 3 days per week is positively related to lower education; patterns of heavy smoking and binge drinking are inconsistently related to SES variables. We also found considerable regional variation, especially in fruit and vegetable consumption, being physically active and alcohol consumption patterns. CONCLUSIONS: Without careful theoretical consideration linking SES and risky health behaviours, education, income and occupational class cannot substitute each other in the study of SES-related differences of health behaviours, as assumed in the larger part of research on the subject.

The cross-country and cross-time measurement invariance of positive and negative affect scales: Evidence from European Social Survey.

Survey-based measures of subjective well-being are increasingly often analyzed cross-culturally. However, international comparison of these measures requires measurement invariance. Therefore, the major goal of this study is to investigate the cross-country and cross-time comparability of the 4-item positive and 7-item negative affect scales used in European Social Survey Round 3 (2006) and Round 6 (2012). This study applies both the traditional exact and the more recent Bayesian approximate approach to assess whether the affect scales are measurement invariant. The approximate approach detected several non-invariant items that are problematic for cross-national comparison and should be dropped from the scales. Consequently, measurement invariance was established in all countries over the two rounds for the reduced scales, allowing researchers to meaningfully compare their latent mean scores and the relationships with other theoretical constructs of interest. Thus, the study highlights the advantages of using multiple indicators and the necessity of measurement invariance testing in subjective well-being research.

Changing Attitudes Toward Euthanasia and Suicide for Terminally Ill Persons, 1977 to 2016: An Age-Period-Cohort Analysis.

Several longitudinal studies show that over time the American public has become more approving of euthanasia and suicide for terminally ill persons. Yet, these previous findings are limited because they derive from biased estimates of disaggregated hierarchical data. Using insights from life course sociological theory and cross-classified logistic regression models, I better account for this liberalization process by disentangling the age, period, and cohort effects that contribute to longitudinal changes in these attitudes. The results of the analysis point toward a continued liberalization of both attitudes over time, although the magnitude of change was greater for suicide compared with euthanasia. More fluctuation in the probability of supporting both measures was exhibited for the age and period effects over the cohort effects. In addition, age-based differences in supporting both measures were found between men and women and various religious affiliations.

The impact of uncertainty in society on the use of traditional, complementary and alternative medicine: a comparative study on visits to alternative/traditional/folk health care practitioners.

BACKGROUND: While traditional, complementary and alternative medicine (TCAM) is gaining increased interest worldwide, the structural factors associated with the usage of TCAM at the social level have not been sufficiently explored. We aim to understand the social structure of uncertainty in society that affects the TCAM usage for men and women. METHODS: We studied 32 countries using data from the International Social Survey Programme and the World Bank. In this study, we defined TCAM usage as visits to an alternative/traditional/folk health care practitioner during the past 12 months. We performed a correlation analysis and used a generalized linear model . RESULTS: The prevalence of TCAM usage in terms of visits to practitioners was 26.1% globally, while usage varied across the 32 countries. Generalized linear models showed that unemployment rate was associated with the prevalence of TCAM usage in terms of visits to practitioners. CONCLUSIONS: At the social-structural level TCAM usage involving visits to practitioners was related to job insecurity. Job insecurity led to a decrease in TCAM usage regarding visits to practitioners. These findings suggest that it is necessary to consider the social-structural factors of uncertainty in society when designing health policies related to TCAM.

Black-white differences in happiness, 1972-2014.

This paper examines the extent to which the black-white gap in happiness-an important indicator of subjective well-being-has narrowed over the 1972 to 2014 period. Analyzing data from the General Social Survey, we find that that the difference in levels of happiness between whites and blacks is substantial, but declined over time. Results from a decomposition analysis shed new light on the sources of change. We find that observable differences in characteristics of whites and blacks explain a significant and growing proportion of the happiness gap. The two most important characteristics are income and marital status, as both are strongly associated with race and happiness, and the proportion of the difference in the gap that they explain has generally increased over time. Overall, the declining gap in happiness is consistent with the moderate narrowing of substantial racial disparities in other realms, such as life expectancy, residential segregation, and neighborhood conditions, suggesting small steps toward equality in some realms, even as high levels of inequality persist in others.

Use of complementary and alternative medicine in Europe: Health-related and sociodemographic determinants.

AIMS: The aim of this research was to study health-related and sociodemographic determinants of the use of different complementary and alternative medicine (CAM) treatments in Europe and differences in CAM use in various European countries. METHODS: The study was based on a design-based logistic regression analysis of the European Social Survey (ESS), Round 7. We distinguished four CAM modalities: manual therapies, alternative medicinal systems, traditional Asian medical systems and mind-body therapies. RESULTS: In total, 25.9% of the general population had used CAM during the last 12 months. Typically, only one CAM treatment had been used, and it was used more often as complementary rather than alternative treatment. The use of CAM varied greatly by country, from 10% in Hungary to almost 40% in Germany. Compared to those in good health, the use of CAM was two to fourfold greater among those with health problems. The health profiles of users of different CAM modalities varied. For example, back or neck pain was associated with all types of CAM, whereas depression was associated only with the use of mind-body therapies. Individuals with difficult to diagnose health conditions were more inclined to utilize CAM, and CAM use was more common among women and those with a higher education. Lower income was associated with the use of mind-body therapies, whereas the other three CAM modalities were associated with higher income. CONCLUSIONS: Help-seeking differed according to the health problem, something that should be acknowledged by clinical professionals to ensure safe care. The findings also point towards possible socioeconomic inequalities in health service use.

How to understand informal caregiving patterns in Europe? The role of formal long-term care provisions and family care norms.

AIMS: Motivated by ageing populations, healthcare policies increasingly emphasize the role of informal care. This study examines how prevalence rates of informal caregivers and intensive caregivers (i.e. those who provide informal care for at least 11 hours a week) vary between European countries, and to what extent informal caregiving and intensive caregiving relate to countries' formal long-term care provisions and family care norms. METHODS: Multilevel logistic regression analyses on data from the European Social Survey Round 7 ( n = 32,894 respondents in n = 19 countries) were used to test (a) contradicting hypotheses regarding the role of formal long-term care provisions based on crowding-out, crowding-in and specialization arguments and (b) the hypothesis that strong family care norms are positively related to (intensive) informal caregiving. RESULTS: Prevalence rates of informal caregiving varied between European countries, from 20% to 44%. Intensive caregiving ranged from 4% to 11%. Opposite patterns regarding the role of formal long-term care provisions were revealed: generous long-term care provisions in a country were related to a higher likelihood of providing informal care, but a lower likelihood of providing intensive care. Moreover, intensive caregiving was more likely when family care norms in a country were strong. CONCLUSIONS: This study provided support for the specialization argument by showing that generous formal long-term care provisions crowded-out intensive caregiving, but also encouraged more people to provide (some) informal care. Because especially intensive caregiving is burdensome, low levels of formal long-term care provisions might bring risks to caregivers' well-being and healthcare systems' sustainability.

Examining macroeconomic determinants of trust in parliament: A dynamic multilevel framework.

The extensive literature on political trust has long suggested a link between macroeconomic conditions and public trust in political institutions. However, empirical evidence regarding this relationship remains ambiguous. Conflicting results appear to be related to differences in research design: while cross-sectional studies tend not to find evidence of a link between macroeconomic variables and trust in political institutions, most longitudinal studies do. In this paper, using recent advances in multilevel methodology, we examine both cross-sectional and longitudinal effects of macroeconomic variables on trust in national parliament within a single dynamic multilevel framework. By analyzing all seven waves of the European Social Survey (2002-2014), we demonstrate that declining macroeconomic performance has a negative within-country effect on trust in national parliament. At the same time, we find limited evidence in support of this association at the between-country level. This discrepancy suggests the presence of confounding factors that are unaccounted for in cross-sectional designs. We therefore argue for the importance of examining within-country effects as they provide a more stringent test of causality.