This study explores the impact of environmental degradation on public debt in the largest Southeast Asian (ASEAN-5) countries. Prior research has not examined environmental degradation as a possible determinant of public debt in the ASEAN region. As such, the primary objective is to examine key determinants of public debt, notably economic growth, trade openness, investment, and environmental degradation. Utilizing the Fully Modified Ordinary Least Squares (FMOLS) method and data from 1996 to 2021, the study reveals a negative correlation between investment and public debt. Conversely, a positive relationship exists between economic growth, environmental degradation, and public debt levels. These findings hold significant implications for policymakers seeking to craft effective economic and environmental strategies to ensure sustainable development in the ASEAN-5 region. Stronger economic growth can drive up public debt. Importantly, the study highlights the importance of tailored approaches, considering each country’s unique fiscal and developmental characteristics. Applying the Two-Gap Model enhances the understanding of these complex dynamics in shaping public debt and its relationship with environmental factors.

The study examines the acceptance and sustainability of vegetarian, vegan, and flexitarian diets, focusing on the health and environmental benefits of reducing animal-derived proteins. Our objective was to investigate the level of acceptance of these dietary trends across different age groups and health statuses and understand how sustainability awareness and health consciousness impact dietary decisions. We used a mixed-method approach to achieve this, conducting eight in-depth interviews and a survey with 329 participants from various demographic backgrounds. Our qualitative analysis revealed that individual and family health consciousness, along with sustainability considerations, play a significant role in dietary choices, particularly among younger generations who are more open to sustainable eating. Quantitative results show that access to information and educational resources strongly influences dietary decisions, further supporting the spread of environmentally conscious eating habits. The practical significance of our research lies in highlighting the importance of educational campaigns and public health policies that can foster broader societal acceptance of sustainable diets. Educational institutions and community organizations can help facilitate the transfer of knowledge necessary for adopting such diets. Our findings emphasize the role of targeted communication strategies in increasing awareness of the benefits of plant-based diets. Furthermore, these insights underline the potential of policy interventions to make sustainable food choices more accessible and appealing to a wider population. Future research could focus on exploring economic incentives and examining long-term health and environmental outcomes associated with these diets.

Objective: This study investigates the influence of tobacco prices on consumption habits among 200 smokers in Lisbon, Portugal, focusing on generational preferences and perceptions of tobacco taxes. Methods: A cross-sectional survey was conducted using a quantitative approach. Participants were categorized by generational cohort, and data on tobacco consumption types, awareness of tobacco taxes, and opinions on tax increases were collected. Statistical analyses were used to explore relationships and predictors. Results: Findings reveal that 46.5% of participants favored heated tobacco, 37.0% smoked cigarettes, and 16.5% consumed other types like roll-your-own tobacco and electronic cigarettes. Significant generational differences were observed, with older cohorts predominantly smoking cigarettes (51.5%), while Generation Z showed a preference for heated tobacco (55.2%). Most smokers (79.5%) were aware of tobacco taxes, with diverse opinions on their purpose: revenue generation (44.0%), consumption reduction (44.5%), and indifference (11.5%). Despite this awareness, 60.5% reported no change in consumption habits due to tax increases. Conclusion: The study underscores the complexity of tobacco consumption behaviors influenced by price and generational factors. While heated tobacco gains popularity among younger smokers, traditional cigarettes remain prevalent among older cohorts. The findings highlight challenges in tobacco control policies, suggesting a need for comprehensive strategies integrating price measures with targeted educational and cessation interventions to effectively reduce tobacco use across different generations.

As the aging trend intensifies, the Chinese government prioritizes technological innovation in smart elderly care services to enhance quality and efficiency, catering to the diverse needs of the elderly. This study examines the acceptance and usage behavior of smart elderly care services among elderly individuals in Xi’an, using a modified Unified Theory of Acceptance and Use of Technology (UTAUT) model that includes digital literacy as a moderating variable. Data were collected via a survey of 299 elderly individuals aged 60 and above in Xi’an. The study aims to identify factors influencing the acceptance and usage behavior of smart elderly care services and to understand how digital literacy moderates the relationship between these factors and usage behavior. Regression analysis assessed the direct effects of Performance Expectancy (PE), Effort Expectancy (EE), Social Influence (SI), and Facilitating Conditions (FC) on usage behavior. These dimensions were then integrated into a comprehensive index Service Acceptance to evaluate their overall impact on usage behavior, with behavioral intention examined as a potential mediating variable. Results indicate that EE and SI significantly impact the adoption of smart elderly care services, whereas PE and FC do not. Behavioral intention mediates the relationship between these variables and usage behavior. Additionally, gender, age, and digital literacy significantly moderate the impact of service acceptance on usage behavior. This study provides valuable theoretical and practical insights for designing and promoting smart elderly care services, emphasizing the importance of usability and social promotion to enhance the quality of life for the elderly.

Diagnosis-related groups (DRGs) are gaining prominence in healthcare systems worldwide to standardize potential payments to hospitals. This study, conducted across public hospitals, investigates the impact of DRG implementation on human resource allocation and management practices. The research findings reveal significant changes in job roles and skill requirements based on a mixed-methods approach involving 70 healthcare professionals across various roles. 50% of respondents reported changes in daily responsibilities, and 42% noted the creation of new roles in their organizations. Significant challenges include inadequate training (46%), and coding complexity (38%). Factor analysis revealed a complex relationship between DRG familiarity, job satisfaction, and staff morale. The study also found a moderate negative correlation between the impact on morale and years of service in the current hospital, suggesting that longer-tenured staff may require additional support in adapting to DRG systems. This study addresses a knowledge gap in the human resource aspects of DRG implementation. It provides healthcare administrators and policymakers with evidence to inform strategies for effective DRG adoption and workforce management in public hospitals.

This study examined the impact of transition programs on the post-school outcomes of Saudi adolescents with special needs. The study examines the impact of vocational training, career counseling, and community participation on job outcomes, the pursuit of further education, and the acquisition of independent living skills. The research is conducted on a diverse sample of 500 students (260 girls and 240 boys). The data is analyzed using descriptive statistics, regression analysis, and ANOVA, revealing positive perceptions of transition services and identifying significant predictors of post-school performance. Post-hoc testing enhances understanding of nuanced differences between groups. The findings underscore the need for tailored transition programs that prioritize the extent of vocational training and apply culturally responsive approaches. Proposed approaches include enhancing vocational training programs, enhancing career counseling services, encouraging community involvement, and performing continuous research and evaluation. This study makes substantial additions to the current corpus of knowledge and provides crucial information to influence policy and practice in Saudi Arabia.