Climate change is occurring more quickly and has more complex effects than expected. The well-being of populations in general and financial resources have been impacted by climate change in recent years. Children, pregnant women and the elderly bear the brunt of the impacts caused by climate-related risks. This research aims to assess the perceptions of health personnel and clients on climate change as well as these impacts in the Greater Lomé health region in Togo. Furthermore, this research examines the differences between the perceptions of caregivers, patients and scientific observations in this area. Based on field observations, an interview guide and a questionnaire, the information collected shows that nearly 75.95% of those questioned perceived climate change, particularly in the form of an increase in precipitation concentrated on a cost duration causing floods and the scarcity of rain at the end of the year leading to droughts. More than 25.40% and 61.86% respectively perceive that droughts and floods impact their livelihoods, but do not fully understand the causes. The results are useful for planning useful actions to facilitate the management of climate-related risks in health establishments in the Greater Lomé health region. It is therefore important to carry out awareness campaigns, train stakeholders and take necessary measures to make health systems resilient.

The decentralization of the NHIS’s implementation to states intended to hasten progress towards universal health coverage, has not effectively addressed healthcare disparities, particularly in Lagos State. The implementation of the Lagos State Health Insurance Scheme appears to perpetuate structural violence, evident in increased out-of-pocket expenses, discrimination based on insurance type, and substandard healthcare delivery. The study therefore examined how structural violence has affected the policy outcomes of the Lagos State Health Insurance Scheme, with a specific emphasis on junior officers in grade level 01–07 in five selected ministries situated within Lagos State. Both primary and secondary data were collected using questionnaire, interview and literature search. Data gathered were analysed statistically and thematically. The findings of the study indicate that the policy outcome of the scheme has been adversely affected by structural violence, resulting in dissatisfaction, compensation claims for unresolved health issues and a shift in health insurance providers among enrolled junior officers.

E-cigarettes pose a significant public health concern, particularly for youth and young adults. Policymaking in this area is complicated by changing consumption patterns, diverse user demographics, and dynamic online and offline communities. This study uses social network analytics to examine the social dynamics and communication patterns related to e-cigarette use. We analyzed data from various social media platforms, forums, and online communities, which included both advocacy for e-cigarettes as a safer smoking alternative and opposition due to health risks. Our findings inform targeted healthcare policy interventions, such as educational campaigns tailored to specific network clusters, regulations based on user interaction and influence patterns, and collaborations with key influencers to spread accurate health information.

Objective: To explore the influencing factors of mental health and the mediating role of self-compassion between family cohesion and mental health. Method: Family Cohesion Scale, Symptom Checklist, and Self-compassion Scale were used to investigate 593 college students in Zhejiang Province. Result: Family Cohesion was negatively correlated with mental health and positively correlated with Self-compass- ion among college students; Self-compassion was negatively correlated with mental health. Self-compassion fully mediates the relationship between the two. Conclusion: The path of family cohesion is indirect, and strengthening Self-compassion education can improve the mental health level of college students.

This article analyses the complex factors contributing to rising medical expenses, focusing on the senior citizen demographic in Malaysia. With the global aging population, notably in lower and middle-income countries, the study highlights the escalating medical and health insurance costs, driven by age, income source, modern healthcare, and geographical residence. The research draws on an extensive literature review, demographic analysis, and quantitative methods to examine these determinants. It critically analyzes Malaysia’s healthcare system, which operates on a dual-tier model, and the financial burden placed on senior citizens. The findings indicate that age, source of income, and geographical residence significantly influence medical expenses, whereas modern healthcare’s impact is not statistically significant. The study calls for government intervention, insurance industry adjustments, and private sector support to mitigate the financial strain on senior citizens. Recommendations include tax relief adjustments, National Health Insurance Scheme implementation, and employment sustainability for seniors. This research provides some recommendations to policymaking, the insurance industry, and academia by providing insights into managing the healthcare needs of an aging population sustainably.

This study examines the adoption and usability of lifestyle (LS) apps, considering demographic factors like age and education that influence adoption decisions. The study employed a mixed-methods design, combining an experiment (spanning 14 weeks of app use) with semi-structured interviews and periodic measurements. The researchers employed the Mobile Application Usability Questionnaire (MAUQ) to identify pivotal aspects of standalone app usability, interface satisfaction, and usefulness at various stages of use, with a particular emphasis on the experiences of Hungarian students (n = 36). The results demonstrate that health-related factors have a significant impact on students’ behavior and evaluation of lifestyle apps over the 14-week period. Overall, the analyzed LS apps demonstrated positive outcomes in terms of supporting subject health and significantly improving the perceived health state. The findings highlight both practical and theoretical contributions to the field of mobile health applications, suggesting avenues for further research to either confirm or challenge existing theories.