Cardiovascular health awareness,risk perception,behavioural intention and INTERHEART risk stratification among middle-aged adults in Malaysia

Objective:To investigate the interrelationship between cardiovascular health awareness,risk perception,behavioural intention,and INTERHEART risk stratification in a middle-aged adult population in Malaysia.Methods:A cross-sectional survey with convenience sampling was conducted during November 2022 and January 2023.Participants completed validated questionnaires assessing cardiovascular health awareness,risk perception of cardiovascular diseases,behavioural intention towards adopting healthy habits,and INTERHEART risk stratification score(IHRS)based on established risk factors.A total of 602 respondents were included in the final analysis.Data were analysed with independent t-test/one-way ANOVA or Mann-Whitney/Kruskal-Wallis to test the differences,Pearson correlation or linear regression test to analyze the association of independent and dependent variables.Results:There was a significant positive correlation between medical knowledge related to cardiovascular disease(CVD)and knowledge related to CVD risk prevention,risk perception,behavioural intention and IHRS(P<0.05,Pearson correlation).Notably,individuals with higher IHRS tended to have lower knowledge related to CVD and CVD risk prevention,risk perception,and behavioural intention.Males,laborers,active/former smokers,individuals with lower household income and educational levels,those involved in occupations not related to the healthcare sector,and those who did not receive the CVD health brochure or are unaware of health self-assessment tools are likely to have lower levels of knowledge,risk perception,and poorer behavioural intention regarding cardiovascular health(P<0.05,one-way ANOVA).While educational level,smoking status,awareness about CVD poster,self-assessment tools were repeatedly significantly associated with knowledge related to CVD and CVD risk prevention,risk perception,behavioral intention and/or IHRS(P<0.05,linear regression).Conclusions:These findings underscore the importance of promoting cardiovascular health awareness and risk perception among middle-aged adults to foster positive BI and reduce CVD risk.Tailored interventions targeting specific risk factors identified by INTERHEART may enhance risk stratification accuracy and facilitate targeted preventive strategies.

Relationship Between Individuals’Epidemic Risk Perception Within Living Space and Subjective Well-Being:Empirical Evidence from China after the First Wave of COVID-19

It is common to observe the epidemic risk perception(ERP)and a decline in subjective well-being(SWB)in the context of public health events,such as Corona Virus Disease 2019(COVID-19).However,there have been few studies exploring the impact of individuals’ERP within living space on their SWB,especially from a geographical and daily activity perspective after the resumption of work and other activities following a wave of the pandemic.In this paper,we conducted a study with 789 participants in urban China,measuring their ERP within living space and examining its influence on their SWB using path analysis.The results indicated that individuals’ERP within their living space had a significant negative effect on their SWB.The density of certain types of facilities within their living space,such as bus stops,subway stations,restaurants,fast food shops,convenience shops,hospitals,and public toilets,had a significantly negative impact on their SWB,mediated by their ERP within living space.Additionally,participation in out-of-home work and other activities not only increased individuals’ERP within living space,but also strengthened its negative effect on their SWB.

Volcanic Risk Perception and Coping Strategies from Mounts Cameroon and Nyiragongo Eruptions, Central Africa: A Comparative Analysis

Approximately 2,000,000 people are exposed to volcanic risks in communities situated at the flanks of Mounts Cameroon (MC) and Nyiragongo (MN) volcanoes in Central Africa. This study therefore sought to investigate risk perception from four previous eruptions of MC, namely the 1959, 1982, 1999, and 2000 eruptions;and two previous eruptions of MN: 1977 and 2002. The study was initiated with co-design workshops held with major stakeholders in the cities of Buea and Goma at the flanks of MC and MN, respectively, in 2017, to develop the research objectives for the study. A non-random questionnaire survey was later conducted within 14 and 15 communities in Buea and Goma respectively, on the effects, perceived risks, and coping strategies for the chosen eruptions. Three age groups (18 - 30, 31 - 45 and >45 years) and gender (male and female) were considered. The population at the flanks of both volcanoes cited scientific and indigenous factors to be responsible for eruptions from these volcanoes. At MC and MN, ≥45% of the sampled participants (with a higher female population) perceived that the sampled eruptions posed a very high risk to the population. In terms of the effects, the age group of 18 - 30 was the least knowledgeable. In terms of direct effect on persons, over 90% of participants at MC and MN attested that they were overcome by fear/panic. On measures to cope with any likely eruption, the following order was established at the flanks of both volcanoes: sensitization of population, use of religious (prayers) and of traditional/indigenous strategies. In terms of future coping strategies, while the males at MC maintained sensitization as the favourite option, 62% of the males at MN opted for traditional/indigenous strategies. The female population at both MC and MN showed a higher preference for religious strategies like prayers.

Hazardous Attitude Factors Influence Risk Perception in General Aviation Pilots

This manuscript presents a research proposal to investigate how hazardous attitudes among general aviation pilots influence pilot performance in aviation accidents. General aviation pilots train to maintain safe flying conditions, but accidents still occur, and human factors figure prominently among the causes of aviation accidents. The levels of hazardous attitudes among pilots may influence the likelihood of engaging in risky flight behaviors that can lead to accidents. This quantitative study aims to determine whether dangerous attitudes impact risk perception in general aviation pilots. The study will focus on two specific hazardous attitudes, “Anti-Authority” and Macho” behaviors. Among the hazardous attitudes identified by the Federal Aviation Administration (FAA), the two attitudes often stand out in accident investigations and pilot narratives. While all hazardous attitudes have inherent dangers, these two attitudes tend to be more frequently cited in accident reports and investigations. Despite rigorous training in safe flying conditions, general aviation accidents still transpire due to human factors. This research hypothesizes that the five attitudes from the hazardous attitude model, particularly Anti-Authority and Macho, significantly shape pilots’ risk perception. The insights from this study would benefit stakeholders, like the Aircraft Owners and Pilots Association (AOPA), Air Safety Institute, and aviation training programs, in creating training modules tailored to reduce such attitudes.

Factors influencing hybrid maize farmers' risk attitudes and their perceptions in Punjab Province,Pakistan

Hybrid maize farmers have to face diverse kinds of climate, biological, price and financial risks. Farmers＇ risk perceptions and risk attitudes are essential elements influencing farm operations and management decisions. However, this important issue has been overlooked in the contemporary studies and therefore there is a dearth of literature on this important issue. The present research is therefore, an attempt to fill this gap. This study aims to quantify hybrid maize farmers＇ perceptions of disastrous risks, their attitudes towards risk and to explore the impacts of various farm and farm household factors on farmers＇ risk attitudes and risk perceptions. The present study is conducted in four hybrid maize growing districts of Punjab Province, Pakistan, using cross-sectional data of 400 hybrid maize farmers. Risk matrix and equally likely certainty equivalent （ELCE） method are used to rank farmers＇ perceptions of four catastrophic risk sources including climate, biological, price and financial risks and to investigate farmers＇ risk aversion attitudes, respectively. Furthermore, probit regression is used to analyze the determinants affecting farmers＇ risk attitudes and risk perceptions. The results of the study showed that majority of farmers are risk averse in nature and perceive price, biological and climate to be potential sources of risks to their farm enterprise. In addition, analysis divulges that distance from farm to main market, off-farm income, location dummies for Sahiwal and Okara, age, maize farming experience, access to extension agent, significantly （either negatively or positively） influence farmers＇ risk attitudes and risk perceptions. The study delivers valuable insights for farmers, agricultural insurance sector, extension services researchers and agricultural policy makers about the local understanding of risks to hybrid maize crop in developing countries, like Pakistan, and have implications for research on farmers＇ adaptation to exposed risks.

Empirical Evidence of Natural Shocks, Risk Perceptions and Resilience from Cameroon

Invariably, it is the poorest of the poor who are mostly affected by perverse disasters, policies and laws. A major concern in disaster research is to explore the relationship between shock experiences and victims＇ perceptions of risk, as well as their possible effect on victims＇ behavior for resilience and adaptation. We explore this relationship on victimized households of the 1986 Lake Nyos disaster, employing a quasi-experimental design. Matching was done with non-affected households. Both groups affected and non-affected households were of adequate size, and subject to the same questionnaire. Selection of （470） test and matching households was purposely limited to nine of the ten towns accommodating both survivors and non survivors of the examined disaster. A list constructed with traditional rulers in each village allowed for random sampling of non victims for comparative analysis. We then compare households affected by the disaster with those who were not. The results reveal differentiated perceptions of risk and management behavior contingent on whether households experienced the shock or not. However, solidarity and reciprocity remained extremely high and not significantly different amongst both household types, suggesting resilience of endogenous, informal risk response mechanisms to natural shocks. The article concludes that analyzing risk perceptions can help explain why some individuals, households or communities may be resilient to shocks and others not. We argue for a combination of subjective perceptions and objective shock analysis, especially if the analyst hopes to influence policy.

Predictors and Risk Perceptions of Using Cell Phones while Driving among Young Adult Drivers

The Philippines is expecting a rise in the number of drivers that use mobile phones while driving.It is known as the“texting capital of the world”.The objectives of this study were to determine the predictors,risk perceptions and the prevalence of cell phone use while driving among trainee residents of the University of the Philippines-Philippine General Hospital.This cross-sectional study employed total enumeration.A survey was first distributed to the target population,followed by a focus group discussion.Chi-square and multiple logistic regression were used to analyze data.Included in the final analysis were 175 drivers aged 25-30 years(mean=27.90+1.34).There was no significant difference in the risk perceptions of cell phone users vs.non-users,and most perceived hands-free devices safer to use(p=0.030).The reported prevalence is 90.68%;drivers have a significant overall unsafe attitude(p=0.007),and an unsafe attitude when using handsets when driving,even when this is known to be dangerous(p=0.003).In conclusion,driving with hands-free devices was perceived to be safer,although drivers have a high overall unsafe attitude.Driving for more than two years and having an unsafe attitude were found to be significant predictors of cell phone use while driving.Countermeasures must take into account these factors when instituting behavioral modification strategies and road safety policies concerning unsafe and distracted driving.

Risk Perceptions and Willingness to Pay for Organic Fresh Chicken in Argentina

This paper aims to calculate Argentinean consumers＇ willingness to pay （WTP） for organic fresh chicken in the domestic market, by applying the Contingent Valuation approach and with a view to providing some useful insights for promoting organic chicken production and consumption in Argentina. A binomial logit model was estimated using data from a consumer survey conducted in Buenos Aires City, Argentina. Willingness to pay is explained by the consumption of organic products, health risk perceptions, concerns about production processes and also regulation issues, and label reading. The WTP calculation reveals a mean value of 21.4%/kg and a median value of 19%/kg. These results indicate that organic chicken is positively valued by consumers. In fact, it provides the nutritional and product origin information that buyers require and they consider it a safer option than conventional chicken.

Protection Measures and Change in the Perception of Work Risks with COVID-19, in a Representative Sample of Portuguese Tattoo Artists

Introduction: Tattoo Artists are exposed to Occupational Hazards, but the bibliography is scarce. Methodology: this is a Mixed Exploratory Study carried out with a quantitative component (online questionnaire) and a qualitative component (online interview). The questionnaire was available between April 2020 and March 2021 and was distributed by the companies/professionals that work on Tattoos, main national magazines in the sector, companies that supply products and equipment and organizing committees of the main national congresses. The research project was approved by the Ethics Committee of the Faculty of Arts of the University of Porto (28.04.2020) and an informed consent was obtained. As an inclusion criterion, it was considered to carry out tattooing tasks on a paid basis. As exclusion criteria, working outside the country or not mastering the Portuguese language stood out. Results: 207 Tattoo Artists answered the questionnaire (25.87% of professionals registered in Portugal) and nine interviews took place. Numerous statistically significant associations were found between the variables analysed. Final considerations: the main weaknesses of the study are related to the difficulties inherent in data collection: as it was carried out using an online questionnaire, it was not controlled whether all respondents practiced the profession of Tattoo Artists. Furthermore, as it is a voluntary questionnaire, it is possible that the sample retained professionals who value Occupational Health issues. This investigation combined quantitative and qualitative techniques, so that it was possible to take advantage of and mitigate the disadvantages of both;in fact, the qualitative aspect sequentially completed and explored the data initially obtained in the survey, as well as it allowed to deepen issues initially not programmed, such as the possible interference of the Pandemic associated with SARS-COV2 in the general Risk Perception and compliance with the Standards of Good Practices. Regarding the interviews, the sample was reduced, although the answers were reasonably repeated. During those, even though the questions were posed based on what the Tattoo Artists’ thoughts on what most of the colleagues considered and not having to answer only for themselves, this may still have motivated them to respond in a more politically correct manner. In the overall project, very complete data were obtained on Occupational Health applied to this professional sector, part of which had not been published before, which will certainly constitute an asset to acting more effectively. Overall, Portuguese Tattoo Artists believe that most of their colleagues try to comply with the standards of Good Practice, and this attitude was boosted by the COVID-19 pandemic.

The effect of risk perception and COVID‑19 anxiety in pregnancy on decision‑making via the Internet and prenatal care quality:A cross‑sectional multivariate analysis

Background:Risk perception and COVID‑19 anxiety in pregnant women restrict access to health services,cause pregnant women to resort to alternative channels such as the Internet,and affect prenatal care quality(PCQ)negatively.Purpose:The purpose of this study was to examine the effect of risk perception and COVID‑19 anxiety in pregnancy on decision‑making via the Internet(DMI)and PCQ with multivariate analysis.Materials and Methods:This cross‑sectional study was conducted with 406 pregnant women selected using the convenience sampling method in a training and research hospital,in Turkey.The data were collected using the information form,the perception of pregnancy risk questionnaire,the Coronavirus Anxiety Scale,the DMI Scale,and the PCQ Scale.The data obtained were subject to descriptive analysis and the multivariate analysis of variance.Results:Approximately 24.9%of the pregnant women were found to have a high perception of risk and 18%had symptoms of COVID‑19 anxiety.Pregnant women with high COVID‑19 anxiety and a higher perception of risk perceived the Internet as less influential for decision‑making(P<0.05).Pregnant women with a high‑risk perception had lower PCQ(P<0.05).Conclusion:The findings can be used to enhance mental health and resilience in pregnant women and to formulate appropriate intervention strategies.

征迁改造居民的“知情意”——风险感知、政府信任及焦虑情绪对政策支持意愿的影响

以人为核心、关注民情、尊重民意是推进新型城镇化征迁改造的核心理念。已有研究主要关注居民的多元理性认知对征迁改造意愿的影响,对于情绪在认知与意愿的关系中发挥何种作用仍缺乏解释。运用质性研究方法,开发涵盖生计风险、适应风险和利益风险3个维度的征迁改造风险感知多维构念,以焦虑情绪为中介,建立征迁改造风险感知和政府信任对政策支持意愿影响的“知-情-意”模型。通过对18个新型城镇化改造试点地区居民的大规模实证调查发现:焦虑情绪在征迁改造风险感知对支持意愿的负向影响路径中发挥部分中介作用;政府信任通过直接方式以及减弱焦虑情绪的间接方式正向影响支持意愿,且直接效应显著大于间接效应。将焦虑情绪这一重要中介因素纳入居民意愿形成的分析框架,从及时评估并缓解居民焦虑情绪、面向不同群体实施差异化征迁改造政策、打通民意的“最先和最后一公里”以及提升基层政府公信力等方面为推动新型城镇化建设、避免群体性事件提供政策启示。

大学生社交媒体信息安全风险感知影响因素

文章提出社交媒体信息安全风险感知影响因素关系假设,以大学生社交媒体用户群体为研究对象,通过问卷调研风险感知现状,在构建结构方程模型的基础上对问卷数据进行了模型验证和中介效应检验。研究发现:大学生社交媒体信息安全风险感知程度的城乡间差距明显,其面对信息安全风险主要采用系统式处理;媒体信任度、社会群体归属感、卷入认知会对系统式处理产生影响,知识和信息有效性会对启发式-系统式处理产生影响;系统式处理在知识、媒体信任度、社会群体归属感、卷入认知、信息有效性和风险感知之间起完全中介效应,负面情绪直接正向影响风险感知。

复发风险感知对首发缺血性脑卒中患者健康行为的影响

目的 探讨首发缺血性脑卒中患者复发风险感知对其健康行为的影响,为促进脑卒中患者健康管理提供依据。方法 于2022-03—2023-05采用一般资料调查表、缺血性脑卒中患者复发风险感知量表、脑卒中患者健康行为量表对238例首发缺血性脑卒中患者进行问卷调查。结果 238例首发缺血性脑卒中患者复发风险感知量表得分(91.58±15.23)分,健康行为量表得分(68.27±14.05)分。分层回归分析显示,复发风险感知是首发缺血性脑卒中患者健康行为的重要预测因子,可独立解释健康行为16.5%的变异。结论 复发风险感知是首发缺血性脑卒中患者健康行为的重要影响因素,提高脑卒中患者复发风险感知水平有助于促进患者健康行为。

大数据下企业供应链风险管理与竞争情报融合模型构建--以华为公司为例

[研究目的]国际经贸对抗环境下,中美贸易摩擦将持续升级,国家层面的技术创新竞争使得企业面临的供应链风险大幅提升。同时,大数据改变了供应链风险管理模式,而竞争情报可以从理论、技术和方法等方面提升大数据下企业供应链风险管理能力,因此大数据下企业供应链风险管理与竞争情报的融合研究具有重要意义。[研究方法]采用文献分析、案例研究等方法,分析供应链风险管理与竞争情报的异同点,继而论证大数据下供应链风险管理与竞争情报融合的可行性和必要性,再辅之以标杆企业华为的供应链中断风险事件验证,最终构建大数据下华为供应链风险管理与竞争情报融合模型,并分析运行维护此模型的保障要素。[研究结论]研究表明,基于战略、组织、制度、技术和资源五要素的共同保障,大数据下供应链风险管理与竞争情报的融合能够实现供应链风险管理的全面性、及时性和有效性。

Survey and Analysis on the Status Quo of Occupational Risk Perception of Teachers in Public Vocational Colleges in an Underdeveloped Area

This paper selects the teachers of public higher vocational college(College A)in underdeveloped areas to participate in the analysis,and conducts a questionnaire survey using the occupational risk perception questionnaire of higher vocational teachers.A total of 223 higher vocational teachers were selected to participate in the survey in order to understand the status quo of occupational risk perception of higher vocational teachers.The survey results show that the Cronbach’sαcoefficient of occupational risk perception scale for higher vocational teachers is 0.846,and the Kaiser-Meyer-Olkin(KMO)is 0.871.The education legal liability risk,workload risk,and career development risk are the highest average occupational risk perception of higher vocational teachers.In conclusion,the occupational risk perception scale of higher vocational teachers compiled in this study has good reliability and validity.The occupational risk perceived by teachers in public higher vocational colleges is relatively high.

食品安全风险伤害与风险交流对消费者风险感知的综合影响——以跨境电商为例

探讨消费者食品安全风险感知形成机理并科学引导,对推动我国食品产业高质量发展具有重要作用。区别于以往单一维度的研究,从风险的客观存在与主观构建的二重性出发,以跨境电商为研究情境探讨食品安全风险场域(风险伤害与风险交流)对消费者风险感知的影响机制。实验结果表明:食品安全风险场域显著影响消费者风险感知,相较于风险伤害,风险交流对消费者风险感知的影响更为显著,且在女性群体和含低龄人口或高龄人口的家庭中更为显著。食品安全关注度在风险场域影响消费者风险感知的路径中发挥“遮掩效应”;平台情境在风险场域与食品安全关注度的因果关系间起负向调节效应。

旅游者风险感知对目的地信任影响研究——政府信任的中介作用

旅游者风险感知与信任密切相关,各种风险所带来的不确定性会改变社会互动并造成信任危机,而旅游者目的地信任是影响旅游者满意度与忠诚度的重要因素。以安东尼·吉登斯关于风险感知和信任的论述为理论依据建立分析框架,通过网络问卷对326名风险经历者进行调查,并以政府信任为中介变量,以风险沟通、应急处置为调节变量,重点探讨了公共卫生事件情境下旅游者风险感知对其目的地信任的作用机制与效应。结果显示:风险感知对旅游者政府信任具有显著负向影响,而风险感知对旅游者目的地信任无显著影响;政府信任对旅游者目的地信任具有显著正向影响;风险沟通在风险感知与政府信任中不存在调节作用,应急处置在风险感知与政府信任中存在调节作用。

脑卒中患者复发风险感知与行为决策情境理论模型的初步构建

目的构建脑卒中患者复发风险感知与行为决策情境理论模型,为脑卒中行为管理提供新的指导框架。方法遵循护理学科理论模型发展过程,综合采用文献研究、质性研究及理论分析,初步构建脑卒中复发风险感知与行为决策情境理论模型,包括概念、命题(概念间假设关系)及模型边界(适用范围)。结果脑卒中复发风险感知与行为决策模型包含复发风险感知、行为决策、自我效能、社会支持、情感反应(担忧)和健康行为等6个核心变量,一条核心路径为“复发风险感知→行为决策→健康行为”,三条桥梁路径为“复发风险感知社会支持→行为决策→健康行为”“复发风险感知→自我效能→行为决策→健康行为”和“复发风险感知复发担忧→行为决策→健康行为”。结论脑卒中复发风险感知与行为决策模型或可丰富脑卒中健康行为管理相关理论研究,进而为开展脑卒中患者健康管理及复发防控实践工作提供新的视角。

呼吸科住院患者风险感知与创伤后应激障碍的相关性研究

目的探究呼吸科住院患者风险感知与创伤后应激障碍(PTSD)的现状,分析其相关性,为患者心理危机早期预防和干预提供理论依据。方法选择南阳市中心医院2023年1月~3月呼吸科住院的发热患者为研究对象,收集患者的一般资料、风险感知量表(PRQ)及创伤后应激障碍自评量表(PCL-C)评分,并进行统计学分析。结果共回收182份有效问卷,患者一般资料与PRQ、PCL-C评分比较,差异无统计学意义(P>0.05)。患者中、重度PTSD发生率为71.98%,回归分析显示,PRQ评分与PCL-C评分呈显著正相关(P<0.01),风险感知可以解释PTSD 39.00%的变化原因。结论呼吸科发热患者PTSD发生率较高,有必要对患者实施风险感知的管理或干预,从而减轻患者心理压力,以降低创伤后应激障碍的发生。

肿瘤患者跌倒风险感知量表的编制及信效度检验

目的编制肿瘤患者跌倒风险感知量表并检验信效度,为肿瘤患者跌倒防范提供自评工具。方法通过文献回顾、专家函询、小组讨论等方式构建量表,选取407例肿瘤患者进行调查,检验量表信效度。结果肿瘤患者跌倒风险感知量表包括跌倒认知易感知性(5个条目)、生理状况易感知性(12个条目)、个人活动易感知性(5个条目)、环境因素易感知性(5个条目)、跌倒严重性感知(3个条目)5个维度共30个条目。探索性因子分析提取5个公因子,累计方差贡献率66.746%。量表总的Cronbach′sα系数为0.926,折半信度为0.672,各维度Cronbach′sα系数为0.914~0.970,折半信度为0.877~0.963。量表水平的内容效度指数为0.867,条目水平的内容效度指数为0.813~1.000。验证性因子分析结果显示,χ^(2)/df=1.845,RMSEA=0.059,GFI=0.840,CFI=0.971,NFI=0.939,AGFI=0.811,模型适配良好;AVE平方根均显著大于相关系数,各维度之间有显著相关性(均P<0.05)。结论肿瘤患者跌倒风险感知量表信效度良好,可用于肿瘤患者跌倒风险感知的评估。