In the competitive retail industry of the digital era,data-driven insights into gender-specific customer behavior are essential.They support the optimization of store performance,layout design,product placement,and ta...In the competitive retail industry of the digital era,data-driven insights into gender-specific customer behavior are essential.They support the optimization of store performance,layout design,product placement,and targeted marketing.However,existing computer vision solutions often rely on facial recognition to gather such insights,raising significant privacy and ethical concerns.To address these issues,this paper presents a privacypreserving customer analytics system through two key strategies.First,we deploy a deep learning framework using YOLOv9s,trained on the RCA-TVGender dataset.Cameras are positioned perpendicular to observation areas to reduce facial visibility while maintaining accurate gender classification.Second,we apply AES-128 encryption to customer position data,ensuring secure access and regulatory compliance.Our system achieved overall performance,with 81.5%mAP@50,77.7%precision,and 75.7%recall.Moreover,a 90-min observational study confirmed the system’s ability to generate privacy-protected heatmaps revealing distinct behavioral patterns between male and female customers.For instance,women spent more time in certain areas and showed interest in different products.These results confirm the system’s effectiveness in enabling personalized layout and marketing strategies without compromising privacy.展开更多
BACKGROUND Barrett's esophagus(BE)is a known premalignant precursor to esophageal adenocarcinoma(EAC).The prevalence rates continue to rise in the United States,but many patients who are at risk of EAC are not scr...BACKGROUND Barrett's esophagus(BE)is a known premalignant precursor to esophageal adenocarcinoma(EAC).The prevalence rates continue to rise in the United States,but many patients who are at risk of EAC are not screened.Current practice guidelines include male gender as a predisposing factor for BE and EAC.The population-based clinical evidence regarding female gender remains limited.AIM To study comparative trends of gender disparities in patients with BE in the United States.METHODS A nationwide retrospective study was conducted using the 2009-2019 National Inpatient Sample(NIS)database.Patients with a primary or secondary diagnosis code of BE were identified.The major outcome of interest was determining the gender disparities in patients with BE.Trend analysis for respective outcomes for females was also reported to ascertain any time-based shifts.RESULTS We identified 1204190 patients with BE for the study period.Among the included patients,717439(59.6%)were men and 486751(40.4%)were women.The mean age was higher in women than in men(67.1±0.4 vs 66.6±0.3 years,P<0.001).The rate of BE per 100000 total NIS hospitalizations for males increased from 144.6 in 2009 to 213.4 in 2019(P<0.001).The rate for females increased from 96.8 in 2009 to 148.7 in 2019(P<0.001).There was a higher frequency of obesity among women compared to men(17.4%vs 12.6%,P<0.001).Obesity prevalence among females increased from 12.3%in 2009 to 21.9%in 2019(P<0.001).A lower prevalence of smoking was noted in women than in men(20.8%vs 35.7%,P<0.001).However,trend analysis showed an increasing prevalence of smoking among women,from 12.9%in 2009 to 30.7%in 2019(P<0.001).Additionally,there was a lower prevalence of alcohol abuse,Helicobacter pylori(H.pylori),and diabetes mellitus among females than males(P<0.001).Trend analysis showed an increasing prevalence of alcohol use disorder and a decreasing prevalence of H.pylori and diabetes mellitus among women(P<0.001).CONCLUSION The prevalence of BE among women has steadily increased from 2009 to 2019.The existing knowledge concerning BE development has historically focused on men,but our findings show that the risk in women is not insignificant.展开更多
The Global Leaders’Meeting on Women was held in Beijing,the capital of China,on 13-14 October.South African Minister in the Presidency for Women,Youth and Persons with Disabilities Sindisiwe Chikunga,attended the eve...The Global Leaders’Meeting on Women was held in Beijing,the capital of China,on 13-14 October.South African Minister in the Presidency for Women,Youth and Persons with Disabilities Sindisiwe Chikunga,attended the event.ChinAfrica spoke with her in an exclusive interview about the messages she brought to the meeting,South Africa’s progress in women’s empowerment,how the G20 presidency can contribute to this cause,and China’s role.An edited excerpt of the interview follows.展开更多
This paper presents the findings of a two-week monitoring project on Gender Based Violence(GBV)in Tanzanian and explores how the media outlets frame the marginalized voices,institutional narratives,and intersectional ...This paper presents the findings of a two-week monitoring project on Gender Based Violence(GBV)in Tanzanian and explores how the media outlets frame the marginalized voices,institutional narratives,and intersectional inclusivity.Drawing qualitative approach and analysis of media coverage of GBV during the 202416 Days of Activism campaign remarkably November 25 to December 10,2024,it reveals the extent that media platforms amplify or marginalize survivor voices.Through two weeks of media monitoring across print,broadcast,and social media including sources notably Mwananchi,TBC1,Cloud FM,and advocacy-driven digital platforms and campaigns through#EndGBVNow and#16DaysOfActivism the study explores recurring themes,language use,tone,and inclusivity.Guided by critical gender theories including Judith Butler’s gender performativity and Gave Tuchman’s symbolic annihilation,the analysis reveals media’s dual role in either perpetuating or challenging patriarchal narratives.Findings indicate that traditional media often foreground prevailing institutional voices while underrepresenting marginalized groups,especially rural women and women with disabilities,portraying harmful cultural practices like FGM and child marriage as community challenges rather than universal human rights violation.Conversely,social media emerged as a transformative space for survivor-led advocacy.Hence the study calls for inclusive,ethical,and survivor-centered media reporting as well as strategic integration of digital and mainstream media to promote justice and policy reform in GBV reporting.展开更多
Objective:Near vision loss(NVL)is one of the leading causes of visual impairment worldwide,exerting a profound impact on individual quality of life and socio-economic development.This study aims to analyze the burden ...Objective:Near vision loss(NVL)is one of the leading causes of visual impairment worldwide,exerting a profound impact on individual quality of life and socio-economic development.This study aims to analyze the burden of NVL in China by sex and age groups from 1990 to 2021 and to project trends over the next 15 years.Methods:Using data from the Global Burden of Disease(GBD)2021 database,we conducted descriptive analyses of NVL prevalence in China,calculated age-standardized prevalence rates(ASPR)and age-standardized disability-adjusted life years rates(ASDR)to compare burden differences between sexes and age groups,and applied an autoregressive integrated moving average(ARIMA)model to predict NVL trends for the next 15 years.The model selection was based on best-fit criteria to ensure reliable projections.Results:From 1990 to 2021,China’s ASPR of NVL rose from 10096.24/100000 to 15624.54/100000,and ASDR increased from 101.75/100000 to 158.75/100000.In 2021,ASPR(16551.70/100000)and ASDR(167.69/100000)were higher among females than males(14686.21/100000 and 149.76/100000,respectively).China ranked highest globally in both NVL cases and disability-adjusted life years(DALYs),with female burden significantly exceeding male burden.Projections indicated this trend and sex gap will persist until 2036.Compared with 1990,the prevalence cases and DALYs increased by 239.20%and 238.82%,respectively in 2021,with the highest burden among females and the 55−59 age group.The ARIMA model predicted continued increases in prevalence and DALYs by 2036,with females maintaining a higher burden than males.Conclusion:This study reveals a marked increase in the NVL burden in China and predicts continued growth in the coming years.Public health policies should prioritize NVL prevention and control,with special attention to women and middle-aged populations to mitigate long-term societal and health impacts.展开更多
This study examined gender differences in modal choice among residents of coastal communities of Yenagoa metropolis in Bayelsa State, Nigeria. The Four-Step model of transportation planning and modal choice provided t...This study examined gender differences in modal choice among residents of coastal communities of Yenagoa metropolis in Bayelsa State, Nigeria. The Four-Step model of transportation planning and modal choice provided the theoretical basis for this study. A survey research design involving a stratified sampling technique was adopted. The descriptives on transport modes, amount and time spent revealed that 10 (76.9%) males and 3 (23.1%) females preferred bicycle as means of transportation, 7 (58.3%) males and 5 (41.7%) females preferred motorcycle, while a significant proportion 90 (53.9%) males and 77 (46.1%) females preferred tricycle, 80 (63.0%) males and 47 (37.0%) females preferred cars/taxis, and 12 (46.2%) males and 14 (53.8%) females preferred mass transit bus. However, 14 (46.7%) males and 16 (53.3%) females in marshy terrain and coastal locations preferred canoes and boats. The result of the logistic regression model revealed that gender modal preference is more likely to be influenced by mode of transportation with a beta weight of 1.140, safety considerations 1.139, ownership of transport 1.135 and distance to place of work 1.073. Hence, this study recommends that a combination of these factors should be incorporated into transport planning to achieve effective transport planning and sustainable development in the Yenagoa metropolis.展开更多
With a long-standing tradition in the development of critical theories, Latin America seeks, through a myriad of perspectives, to understand its peripheral position within the mechanisms of the world system. This pape...With a long-standing tradition in the development of critical theories, Latin America seeks, through a myriad of perspectives, to understand its peripheral position within the mechanisms of the world system. This paper aims to examine the role of race and gender in sustaining the capitalist world system through the lens of decolonial studies. It considers how both categories were historically constructed during the colonial process as tools to legitimize social, economic, and political hierarchies between the dominant and the dominated. In particular, the division of labor, based on racial and gendered distinctions, was instrumental in shaping these power relations. By analyzing these categories as central elements in the formation and maintenance of the capitalist world system, the study highlights their continued influence in perpetuating inequalities today.展开更多
BACKGROUND Literature focused on cancer screening and management is lacking in the transgender population.AIM To action to increase contributions to the scientific literature that drives the creation of cancer screeni...BACKGROUND Literature focused on cancer screening and management is lacking in the transgender population.AIM To action to increase contributions to the scientific literature that drives the creation of cancer screening and management protocols for transgender and gender nonconforming(TGNC)patients.METHODS We performed a systematic search of PubMed on January 5th,2022,with the following terms:“TGNC”,OR“transgender”,OR“gender non-conforming”,OR“gender nonbinary”AND“cancer screening”,AND“breast cancer”,AND“cervical cancer”,AND“uterine cancer”,AND“ovarian cancer”,AND“prostate cancer”,AND“testicular cancer”,AND“surveillance”,AND“follow-up”,AND“management”.70 unique publications were used.The findings are discussed under“Screening”and“Management”categories.RESULTS Screening:Current cancer screening recommendations default to cis-gender protocols.However,long-term genderaffirming hormone therapy and loss to follow-up from the gender-specific specialties contribute to a higher risk for cancer development and possible delayed detection.The only known screening guidelines made specifically for this population are from the American College of Radiology for breast cancer.Management:Prior to undergoing Gender Affirmation Surgery(GAS),discussion should address cancer screening and management in the organs remaining in situ.Cancer treatment in this population requires consideration for chemotherapy,radiation,surgery and/or reconstruction.Modification of hormone therapy is decided on a case-by-case basis.The use of prophylactic vs aesthetic techniques in surgery is still debated.CONCLUSION When assessing transgender individuals for GAS,a discussion on the future oncologic risk of the sex-specific organs remaining in situ is essential.Cancer management in this population requires a multidisciplinary approach while the care should be highly individualized with considerations to social,medical,surgical and gender affirming surgery related specifications.Special considerations have to be made during planning for GAS as surgery will alter the anatomy and may render the organ difficult to sample for screening purposes.A discussion with the patient regarding the oncologic risk of remaining organs is imperative prior to GAS.Other special considerations to screening such as the conscious or unconscious will to unassociated with their remaining organs is also a key point to address.We currently lack high quality studies pertinent to the cancer topic in the gender affirmation literature.Further research is required to ensure more comprehensive and individualized care for this population.展开更多
This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 yea...This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 years).The students completed the Interpersonal Adjustment Scale for College Students,Center for Epidemiological Studies Depression Scale,and Core Self-evaluation Scale.The results of Linear regression and mediated moderated effects modeling revealed that college students with higher interpersonal adjustment and core self-evaluation scores were at lower risk for depression.Core self-evaluation mediated the relationship between interpersonal adjustment and depression in college students for lower risk for depression.Gender moderated the relationship between interpersonal adjustment and core self-evaluation in college students for higher risk for depression in female students.From thesefindings,we conclude that interpersonal adjustment and core self-evaluation are significant for screening depression risk college students.Moreover,female students may benefit from targeted interventions aimed at their interpersonal adjustment for reducing their risk of depression.展开更多
Objective:Understand the level of anxiety and depression of PD caregivers,and pay attention to the relationship between mental health and different genders.Methods:200 PD patients and their caregivers were recruited.T...Objective:Understand the level of anxiety and depression of PD caregivers,and pay attention to the relationship between mental health and different genders.Methods:200 PD patients and their caregivers were recruited.The Hamilton Anxiety Scale(HAMA)and the 17-item Hamilton Depression Scale(HAMD)were used to assess the anxiety and depression of the patients;The Mental Component Summary scale(MCS)of the SF-36 was used to test the mental health status of PD caregivers.Results:The PD caregivers HAMA detection of anxiety was 59 cases(29.5%),including 44 female caregivers and 15 males anxious;the PD caregivers HAMD detection of depression was 96 cases(48.0%),including 66 female caregivers and 30 male caregivers;the MCS score of PD male caregivers was 47(42.75-52.25),and the MCS score of PD female caregivers was 41(39-48).There were statistically significant differences in anxiety,depression and mental health scores among caregivers of different genders(p<0.05).Conclusion:The anxiety,depression and mental health of PD female caregivers were worse than male caregivers.Clinical and social work need to pay more attention to the caregivers with mental health.展开更多
Objective To investigate hypertension(HTN)trends,key risk factors,and gender disparities in rural China,and to propose targeted strategies for improving HTN control in resource-limited settings.Methods This longitudin...Objective To investigate hypertension(HTN)trends,key risk factors,and gender disparities in rural China,and to propose targeted strategies for improving HTN control in resource-limited settings.Methods This longitudinal study used data from the Henan Rural Cohort Study,including baseline(2015–2017;n=39,224)and follow-up(2018–2022;n=28,621)participants.HTN was defined as systolic/diastolic blood pressure≥140/90 mmHg,self-reported diagnosis,or use of antihypertensive medication.Severity was classified using a 7-tier blood pressure(BP)staging system(optimal,normal,high normal,and HTN stages 1–4).A generalized linear mixed-effects model(GLMM)identified associated risk factors.Results HTN prevalence increased modestly from 32.7%(95%CI:32.2–33.2)to 33.9%(95%CI:33.3%–34.4%).Awareness and treatment improved from 20.1%to 25.3%,and from 18.8%to 24.4%,respectively,but control rates remained low(6.2%to 12.3%).After adjustment,women had a 1.53-fold higher HTN risk than men(OR=1.53,95%CI:1.43–1.63),revealing gender-specific trends.Key risk factors included alcohol use(OR=1.37,95%CI:1.27–1.47)and overweight status(OR=1.76,95%CI:1.66–1.86).BP staging showed an increase in optimal BP(42.3%to 45.8%),but stagnant management of advanced HTN stages.Conclusion Hypertension in rural China is shaped by behavioral risk factors and healthcare access gaps.Gender-sensitive,community-based interventions,including task-shifting models,are necessary to mitigate the growing burden of hypertension.展开更多
Economic violence is a form of domestic violence that extends beyond physical harm,affecting victims’economic stability and independence.This situation perpetuates gender inequality and also reinforces the cycle of g...Economic violence is a form of domestic violence that extends beyond physical harm,affecting victims’economic stability and independence.This situation perpetuates gender inequality and also reinforces the cycle of gender-based violence.With definitions of economic violence broadening to encompass a range of coercive and manipulative behaviors-from financial abuse in domestic violence scenarios to the economic harassment faced by stay-at-home moms-understanding this form of exploitation is crucial for crafting effective interventions.This article aims to delve into various facets of economic violence,including its definition,prevalence,and the stark realities it creates for its victims.Following the search of international databases:Social Work Abstracts(EBSCO),Psychology Abstracts,Family and Women Studies Worldwide,Psychiatry Online,Psych INFO(including Psych ARTICLES),PubMed,Wiley,and Scopus,60 peer-reviewed articles that met all inclusion criteria were included in the paper.Our review clarifies that looking forward,the call for a comprehensive understanding of economic violence,enhanced legal frameworks,and the strengthening of supportive networks underscore the multidisciplinary approach required to combat this issue effectively.展开更多
This study examined how social desirability responses confound the relationship between gender and social media addiction.A total of 496 college student social media users(females=310,62.5%,mean age=20.15,SD=1.26)comp...This study examined how social desirability responses confound the relationship between gender and social media addiction.A total of 496 college student social media users(females=310,62.5%,mean age=20.15,SD=1.26)completed an online questionnaire on Social Media Addiction and Social Desirability.Mediation analysis revealed that females were at higher risk for social media addiction.On the other hand,the indirect effect of gender on social media addiction via social desirability is associated with lower social media addiction,which suggests that social desirability had a suppression effect on social media addiction associated with gender.ANOVA results showed that females reported higher social media addiction scores than males in the low social desirability group;in the high group,gender differences were insignificant.This study’s unique contribution is to suggest that females are at higher risk than males for developing addictive social media behaviors.Based on this finding,student social media safety interventions should be gender sensitive to the social desirability effect on females who may hide their true addiction as a result.展开更多
The objective of the study is to examine the moderating influence of gender on the relationship between cultural values and Islamic work ethics(IWE)among Palestinian Arab high school teachers in Israel who represent a...The objective of the study is to examine the moderating influence of gender on the relationship between cultural values and Islamic work ethics(IWE)among Palestinian Arab high school teachers in Israel who represent an ethnic and religious minority within a Western-oriented framework.The study sample comprised 1,245 Arab teachers(759 females and 476 males).Data analysis was conducted using structural equation modeling with AMOS,focusing on path analysis.The research findings highlight a substantial relationship between cultural values and Islamic work ethics,with gender as a moderating variable.Additionally,the results indicate a significant positive relationship between the cultural value dimension of uncertainty avoidance and both dimensions of Islamic work ethics-dedication and social responsibility in the workplace,along with independence,diligence,and achievement.In contrast,a pronounced and significant negative relationship was identified between the cultural dimension of femininity/masculinity and these two dimensions of Islamic work ethics.展开更多
Objectives:Suicidal ideation is a strong predictor of suicide deaths,which refers to the consideration or desire to give up one's own life.Left-behind children in rural China are more vulnerable to psychological p...Objectives:Suicidal ideation is a strong predictor of suicide deaths,which refers to the consideration or desire to give up one's own life.Left-behind children in rural China are more vulnerable to psychological problems and suicidal ideation compared to their non-left-behind peers.The aim of the current study was to examine two potential protective factors,negotiable fate belief and coping self-efficacy,and to test the mediating role of coping self-efficacy in the relationship between negotiable fate belief and suicidal ideation.We also analyzed gender differences in this mediation model.Methods:Across-sectional survey was conducted in rural areas ofChina.A sample of 526 left-behind children(285 males,54.18%;241 females,45.82%;Meanage=13.29 years,SD=0.97 years)was recruited to complete the Negotiable Fate Belief Scale,Coping Self-Efficacy Scale,and the Positive and Negative Suicide Ideation Inventory-Negative Scale.We used structural equation modeling to test the mediation model and multigroup analysis to test the moderation effect of gender.Results:Negotiable fate belief is negatively correlated with suicidal ideation(r=-0.13,p<0.01).Moreover,coping self-efficacy mediates the relationship between negotiable fate belief and suicidal ideation(β=-0.06,95%confidence interval(CI)[-0.12,-0.02]),accounting for 35.29%of the total effect.Finally,the mediating effect of coping self-efficacy was found to be significant only for female left-behind children(male:95%CI[-0.09,0.07];female:95%CI[-0.16,-0.01]).For female left-behind children,the mediating effect was complete,with a coefficient of-0.06,accounting for 85.71%of the total effect.Conclusions:The relationship between negotiable fate belief and suicidal ideation among rural left-behind children is mediated by coping self-efficacy,and this mediation effect was moderated by gender.This study provides a theoretical explanation for how cultivating the belief in negotiable fate and coping self-efficacy is effective for reducing suicidal ideation of rural left-behind children.展开更多
Attention deficit hyperactivity disorder(ADHD)turns into a common neuro progressional disorder.Although gender identity has obtained increasing attention in ADHD researches,its role in ADHD presentation and treatment ...Attention deficit hyperactivity disorder(ADHD)turns into a common neuro progressional disorder.Although gender identity has obtained increasing attention in ADHD researches,its role in ADHD presentation and treatment response remains underexplored.Our review seeks to mainly delve into the effect of gender identity on ADHD,exploring the unique needs of individuals with various gender identities in the context of ADHD symptoms,diagnostic assessment,and treatment,with the goal of supplying theoretical support and practical recommendations for future research and clinical practice.The primary content includes,specifically:(1)Symptom expression differences:Gender identity significantly affects ADHD symptoms;male-identified individuals commonly perform worse in task orientation and attention stability,while female-identified individuals may demonstrate more variability in attention control and executive functions;(2)Diagnosis and treatment:Clinical practice generally neglects the impact of gender identity on ADHD management,with personalized needs of gender-identified individuals frequently not adequately addressed,potentially,affecting treatment outcomes;and(3)Future research directions:Future studies should further assess how gender identity affects the specific mechanisms of ADHD,conduct researches in multicultural contexts,and engage in long-term follow-up studies to evaluate the long-term impact of gender identity on ADHD progression.Besides,enhanced funding and public education on the relationship between gender identity and ADHD are needed to advance the field.展开更多
Objectives:The climate crisis demands urgent action from all sectors of society,including young people in higher education.While previous research has explored individual and contextual predictors of pro-environmental...Objectives:The climate crisis demands urgent action from all sectors of society,including young people in higher education.While previous research has explored individual and contextual predictors of pro-environmental behaviour(PEB),the contribution of Positive Youth Development(PYD)remains underexplored.This study investigates the relationship between PYD dimensions(Competence,Confidence,Connection,Character,and Caring)and two environmental outcomes:environmental habits and climate change awareness,considering gender differences.Methods:A cross-sectional study was conducted with a sample of 1779 students from 10 universities in Andalusia(Spain).Data were collected through an online survey assessing PYD indicators,PEB,and sociodemographic variables.Descriptive statistics,t-tests,correlation analyses,and multiple mediation models were performed.Results:Descriptive analyses indicated moderate levels of PYD dimensions and PEB across the sample.Among the 5 Cs,Caring had a positive association with environmental habits(r 0.22,p 0.001)and climate change awareness(r=<=0.30,p 0.001).Character also had a positive effect on both environmental habits(r 0.23,p 0.001)and climate<=<change awareness(r 0.30,p 0.001).Competence and Confidence were not significantly associated,and Connection=<demonstrated limited predictive value,potentially influenced by contextual or social factors.Gender differences were also identified,with women showing higher scores in Character(d 0.29,p 0.001),Caring(d 0.63,p 0.001),=<=<environmental habits(d 0.20,p 0.001)and climate change awareness(d 0.40,p 0.001),while men scored higher in=<=<Competence(d 0.57,p 0.001)and Confidence(d 0.22,p 0.001).Mediation analyses indicated that the association=<=<between gender and environmental habits was totally explained by Character(β95%CI:and=-0.02;-0.04;-0.01)Caring(β95%CI:Furthermore,the relationship between gender and climate change awareness=-0.04;-0.05,-0.02).was partially mediated by Character(β95%CI:and Caring(β95%CI:=-0.03;-0.05;-0.02)=-0.05;-0.07,-0.03).Conclusions:Females showed more environmental habits and climate change awareness than males,because of their greater scores in both Caring and Character dimensions of PYD.These findings highlight the importance of the PYD for promoting PEB and engaged citizens among young adults.Gender-sensitive and interdisciplinary interventions,such as environmental volunteering and community-based programmes,are recommended for university contexts to enhance sustainable development behaviours and values.展开更多
Considering the recent study by Dobrowolska et al,which investigated sex-related differences in treatment outcomes for chronic hepatitis C infection,this letter endorses the findings that highlight significant dispari...Considering the recent study by Dobrowolska et al,which investigated sex-related differences in treatment outcomes for chronic hepatitis C infection,this letter endorses the findings that highlight significant disparities between male and female patients.The study revealed that women,particularly those in the premen-opausal and menopausal stages,exhibited higher sustained virologic response rates than men.However,postmenopausal women encounter unique challenges that merit attention.This letter emphasizes the necessity for healthcare providers to implement sex-sensitive approaches in the management of hepatitis C,acknow-ledging the impact of biological,hormonal,and psychosocial factors on treatment efficacy.By advocating tailored treatment strategies that address these disparities,we can improve patient outcomes and ensure equitable healthcare for all indi-viduals affected by hepatitis C.Furthermore,this letter calls for additional rese-arch to explore the underlying mechanisms driving these differences,ultimately contributing to more effective and personalized care of patients across diverse demographics.展开更多
Optic neuritis(ON)is a focal inflammatory demyelinating disorder of the optic nerve.Although classically regarded as a sentinel event for multiple sclerosis(MS),ON also occurs in antibody-mediated entities such as aqu...Optic neuritis(ON)is a focal inflammatory demyelinating disorder of the optic nerve.Although classically regarded as a sentinel event for multiple sclerosis(MS),ON also occurs in antibody-mediated entities such as aquaporin-4-IgGpositive neuromyelitis optica spectrum disorder(AQP4-NMOSD)and myelinoligodendrocyte-glycoprotein-antibody disease.In all these settings biological sex is a pivotal determinant of susceptibility,clinical expression,treatment response and long-term outcome.Data synthesized from an extensive literature analysis utilizing PubMed,Scopus,and Web of Science in this review shows that women experience ON far more frequently–with female-to-male ratios ranging from 3:1 in MS to almost 9:1 in AQP4-NMOSD–yet men,when affected,tend to accumulate irreversible neuro-axonal loss more rapidly.Sex-specific patterns arise at every biological stratum:X-linked gene dosage,epigenetic regulation,hormonal cycles from puberty through menopause,metabolic co-modifiers such as obesity and vitamin-D status,and psychosocial forces that influence healthcare utilization.By weaving these elements into an expanded narrative,the present review provides a detailed resource for clinicians and investigators aiming at gender-tailored management of ON.展开更多
Background: Sickle cell anemia(SCA), a genetic hemoglobin disorder, suggests essential inner ear compromise and poor auditory processing. In humans, auditory processing differs physiologically between males and female...Background: Sickle cell anemia(SCA), a genetic hemoglobin disorder, suggests essential inner ear compromise and poor auditory processing. In humans, auditory processing differs physiologically between males and females, possibly true for SCA due to gender-specific disease pathophysiological changes. Objective: To investigate gender differences in psychoacoustical abilities, and speech perception in noise in SCA individuals and further compare with normal healthy(NH) population. Methods: 80 SCA and 80 NH normal-hearing participants aged 15-40 years were included and further grouped based on gender. Auditory discrimination for frequency, intensity, and duration at 500Hz and 4000Hz;temporal processing(Gap detection threshold & Modulation Detection Threshold) and Speech Perception In Noise(SPIN) at 0d BSNR tests were evaluated and compared between males and females of SCA and NH population. Results: SCA performed poorer compared to NH for all experimental measures. In the NH population, males performed poorer than females in psychoacoustical measures whereas within the SCA population, the reverse was true. Female participants performed better in the SPIN test in both populations. Conclusions: The adverse impact of SCA on the auditory system due to circulatory changes might cause poorer performance in SCA. Poorer performance by Female SCA is possibly due to the contrary impact of lower Hb level overlying Sickle disease.Estrogen levels and gender preference in auditory processing might lead to better performance by females within the NH population. SPIN performance depends on different attentional demands and sensorimotor processing strategies in noise beyond psychoacoustical processing may lead to better female performance in both populations.展开更多
文摘In the competitive retail industry of the digital era,data-driven insights into gender-specific customer behavior are essential.They support the optimization of store performance,layout design,product placement,and targeted marketing.However,existing computer vision solutions often rely on facial recognition to gather such insights,raising significant privacy and ethical concerns.To address these issues,this paper presents a privacypreserving customer analytics system through two key strategies.First,we deploy a deep learning framework using YOLOv9s,trained on the RCA-TVGender dataset.Cameras are positioned perpendicular to observation areas to reduce facial visibility while maintaining accurate gender classification.Second,we apply AES-128 encryption to customer position data,ensuring secure access and regulatory compliance.Our system achieved overall performance,with 81.5%mAP@50,77.7%precision,and 75.7%recall.Moreover,a 90-min observational study confirmed the system’s ability to generate privacy-protected heatmaps revealing distinct behavioral patterns between male and female customers.For instance,women spent more time in certain areas and showed interest in different products.These results confirm the system’s effectiveness in enabling personalized layout and marketing strategies without compromising privacy.
文摘BACKGROUND Barrett's esophagus(BE)is a known premalignant precursor to esophageal adenocarcinoma(EAC).The prevalence rates continue to rise in the United States,but many patients who are at risk of EAC are not screened.Current practice guidelines include male gender as a predisposing factor for BE and EAC.The population-based clinical evidence regarding female gender remains limited.AIM To study comparative trends of gender disparities in patients with BE in the United States.METHODS A nationwide retrospective study was conducted using the 2009-2019 National Inpatient Sample(NIS)database.Patients with a primary or secondary diagnosis code of BE were identified.The major outcome of interest was determining the gender disparities in patients with BE.Trend analysis for respective outcomes for females was also reported to ascertain any time-based shifts.RESULTS We identified 1204190 patients with BE for the study period.Among the included patients,717439(59.6%)were men and 486751(40.4%)were women.The mean age was higher in women than in men(67.1±0.4 vs 66.6±0.3 years,P<0.001).The rate of BE per 100000 total NIS hospitalizations for males increased from 144.6 in 2009 to 213.4 in 2019(P<0.001).The rate for females increased from 96.8 in 2009 to 148.7 in 2019(P<0.001).There was a higher frequency of obesity among women compared to men(17.4%vs 12.6%,P<0.001).Obesity prevalence among females increased from 12.3%in 2009 to 21.9%in 2019(P<0.001).A lower prevalence of smoking was noted in women than in men(20.8%vs 35.7%,P<0.001).However,trend analysis showed an increasing prevalence of smoking among women,from 12.9%in 2009 to 30.7%in 2019(P<0.001).Additionally,there was a lower prevalence of alcohol abuse,Helicobacter pylori(H.pylori),and diabetes mellitus among females than males(P<0.001).Trend analysis showed an increasing prevalence of alcohol use disorder and a decreasing prevalence of H.pylori and diabetes mellitus among women(P<0.001).CONCLUSION The prevalence of BE among women has steadily increased from 2009 to 2019.The existing knowledge concerning BE development has historically focused on men,but our findings show that the risk in women is not insignificant.
文摘The Global Leaders’Meeting on Women was held in Beijing,the capital of China,on 13-14 October.South African Minister in the Presidency for Women,Youth and Persons with Disabilities Sindisiwe Chikunga,attended the event.ChinAfrica spoke with her in an exclusive interview about the messages she brought to the meeting,South Africa’s progress in women’s empowerment,how the G20 presidency can contribute to this cause,and China’s role.An edited excerpt of the interview follows.
文摘This paper presents the findings of a two-week monitoring project on Gender Based Violence(GBV)in Tanzanian and explores how the media outlets frame the marginalized voices,institutional narratives,and intersectional inclusivity.Drawing qualitative approach and analysis of media coverage of GBV during the 202416 Days of Activism campaign remarkably November 25 to December 10,2024,it reveals the extent that media platforms amplify or marginalize survivor voices.Through two weeks of media monitoring across print,broadcast,and social media including sources notably Mwananchi,TBC1,Cloud FM,and advocacy-driven digital platforms and campaigns through#EndGBVNow and#16DaysOfActivism the study explores recurring themes,language use,tone,and inclusivity.Guided by critical gender theories including Judith Butler’s gender performativity and Gave Tuchman’s symbolic annihilation,the analysis reveals media’s dual role in either perpetuating or challenging patriarchal narratives.Findings indicate that traditional media often foreground prevailing institutional voices while underrepresenting marginalized groups,especially rural women and women with disabilities,portraying harmful cultural practices like FGM and child marriage as community challenges rather than universal human rights violation.Conversely,social media emerged as a transformative space for survivor-led advocacy.Hence the study calls for inclusive,ethical,and survivor-centered media reporting as well as strategic integration of digital and mainstream media to promote justice and policy reform in GBV reporting.
基金supported by the Natural Science Foundation of Hunan Province(2023JJ30817)Hunan Provincial Natural Science Foundation-Hengyang City Joint Fund Project(2025JJ70129)+1 种基金Changsha Natural Science Foundation(kq2403057)China。
文摘Objective:Near vision loss(NVL)is one of the leading causes of visual impairment worldwide,exerting a profound impact on individual quality of life and socio-economic development.This study aims to analyze the burden of NVL in China by sex and age groups from 1990 to 2021 and to project trends over the next 15 years.Methods:Using data from the Global Burden of Disease(GBD)2021 database,we conducted descriptive analyses of NVL prevalence in China,calculated age-standardized prevalence rates(ASPR)and age-standardized disability-adjusted life years rates(ASDR)to compare burden differences between sexes and age groups,and applied an autoregressive integrated moving average(ARIMA)model to predict NVL trends for the next 15 years.The model selection was based on best-fit criteria to ensure reliable projections.Results:From 1990 to 2021,China’s ASPR of NVL rose from 10096.24/100000 to 15624.54/100000,and ASDR increased from 101.75/100000 to 158.75/100000.In 2021,ASPR(16551.70/100000)and ASDR(167.69/100000)were higher among females than males(14686.21/100000 and 149.76/100000,respectively).China ranked highest globally in both NVL cases and disability-adjusted life years(DALYs),with female burden significantly exceeding male burden.Projections indicated this trend and sex gap will persist until 2036.Compared with 1990,the prevalence cases and DALYs increased by 239.20%and 238.82%,respectively in 2021,with the highest burden among females and the 55−59 age group.The ARIMA model predicted continued increases in prevalence and DALYs by 2036,with females maintaining a higher burden than males.Conclusion:This study reveals a marked increase in the NVL burden in China and predicts continued growth in the coming years.Public health policies should prioritize NVL prevention and control,with special attention to women and middle-aged populations to mitigate long-term societal and health impacts.
文摘This study examined gender differences in modal choice among residents of coastal communities of Yenagoa metropolis in Bayelsa State, Nigeria. The Four-Step model of transportation planning and modal choice provided the theoretical basis for this study. A survey research design involving a stratified sampling technique was adopted. The descriptives on transport modes, amount and time spent revealed that 10 (76.9%) males and 3 (23.1%) females preferred bicycle as means of transportation, 7 (58.3%) males and 5 (41.7%) females preferred motorcycle, while a significant proportion 90 (53.9%) males and 77 (46.1%) females preferred tricycle, 80 (63.0%) males and 47 (37.0%) females preferred cars/taxis, and 12 (46.2%) males and 14 (53.8%) females preferred mass transit bus. However, 14 (46.7%) males and 16 (53.3%) females in marshy terrain and coastal locations preferred canoes and boats. The result of the logistic regression model revealed that gender modal preference is more likely to be influenced by mode of transportation with a beta weight of 1.140, safety considerations 1.139, ownership of transport 1.135 and distance to place of work 1.073. Hence, this study recommends that a combination of these factors should be incorporated into transport planning to achieve effective transport planning and sustainable development in the Yenagoa metropolis.
文摘With a long-standing tradition in the development of critical theories, Latin America seeks, through a myriad of perspectives, to understand its peripheral position within the mechanisms of the world system. This paper aims to examine the role of race and gender in sustaining the capitalist world system through the lens of decolonial studies. It considers how both categories were historically constructed during the colonial process as tools to legitimize social, economic, and political hierarchies between the dominant and the dominated. In particular, the division of labor, based on racial and gendered distinctions, was instrumental in shaping these power relations. By analyzing these categories as central elements in the formation and maintenance of the capitalist world system, the study highlights their continued influence in perpetuating inequalities today.
文摘BACKGROUND Literature focused on cancer screening and management is lacking in the transgender population.AIM To action to increase contributions to the scientific literature that drives the creation of cancer screening and management protocols for transgender and gender nonconforming(TGNC)patients.METHODS We performed a systematic search of PubMed on January 5th,2022,with the following terms:“TGNC”,OR“transgender”,OR“gender non-conforming”,OR“gender nonbinary”AND“cancer screening”,AND“breast cancer”,AND“cervical cancer”,AND“uterine cancer”,AND“ovarian cancer”,AND“prostate cancer”,AND“testicular cancer”,AND“surveillance”,AND“follow-up”,AND“management”.70 unique publications were used.The findings are discussed under“Screening”and“Management”categories.RESULTS Screening:Current cancer screening recommendations default to cis-gender protocols.However,long-term genderaffirming hormone therapy and loss to follow-up from the gender-specific specialties contribute to a higher risk for cancer development and possible delayed detection.The only known screening guidelines made specifically for this population are from the American College of Radiology for breast cancer.Management:Prior to undergoing Gender Affirmation Surgery(GAS),discussion should address cancer screening and management in the organs remaining in situ.Cancer treatment in this population requires consideration for chemotherapy,radiation,surgery and/or reconstruction.Modification of hormone therapy is decided on a case-by-case basis.The use of prophylactic vs aesthetic techniques in surgery is still debated.CONCLUSION When assessing transgender individuals for GAS,a discussion on the future oncologic risk of the sex-specific organs remaining in situ is essential.Cancer management in this population requires a multidisciplinary approach while the care should be highly individualized with considerations to social,medical,surgical and gender affirming surgery related specifications.Special considerations have to be made during planning for GAS as surgery will alter the anatomy and may render the organ difficult to sample for screening purposes.A discussion with the patient regarding the oncologic risk of remaining organs is imperative prior to GAS.Other special considerations to screening such as the conscious or unconscious will to unassociated with their remaining organs is also a key point to address.We currently lack high quality studies pertinent to the cancer topic in the gender affirmation literature.Further research is required to ensure more comprehensive and individualized care for this population.
基金supported by the Education Working Committee of the Xinjiang Uygur Autonomous Region Party Committee(grant number 2023GZYB10).
文摘This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 years).The students completed the Interpersonal Adjustment Scale for College Students,Center for Epidemiological Studies Depression Scale,and Core Self-evaluation Scale.The results of Linear regression and mediated moderated effects modeling revealed that college students with higher interpersonal adjustment and core self-evaluation scores were at lower risk for depression.Core self-evaluation mediated the relationship between interpersonal adjustment and depression in college students for lower risk for depression.Gender moderated the relationship between interpersonal adjustment and core self-evaluation in college students for higher risk for depression in female students.From thesefindings,we conclude that interpersonal adjustment and core self-evaluation are significant for screening depression risk college students.Moreover,female students may benefit from targeted interventions aimed at their interpersonal adjustment for reducing their risk of depression.
文摘Objective:Understand the level of anxiety and depression of PD caregivers,and pay attention to the relationship between mental health and different genders.Methods:200 PD patients and their caregivers were recruited.The Hamilton Anxiety Scale(HAMA)and the 17-item Hamilton Depression Scale(HAMD)were used to assess the anxiety and depression of the patients;The Mental Component Summary scale(MCS)of the SF-36 was used to test the mental health status of PD caregivers.Results:The PD caregivers HAMA detection of anxiety was 59 cases(29.5%),including 44 female caregivers and 15 males anxious;the PD caregivers HAMD detection of depression was 96 cases(48.0%),including 66 female caregivers and 30 male caregivers;the MCS score of PD male caregivers was 47(42.75-52.25),and the MCS score of PD female caregivers was 41(39-48).There were statistically significant differences in anxiety,depression and mental health scores among caregivers of different genders(p<0.05).Conclusion:The anxiety,depression and mental health of PD female caregivers were worse than male caregivers.Clinical and social work need to pay more attention to the caregivers with mental health.
基金supported by the National Natural Science Foundation of China(Grant NO:81930092 and 81973128)Natural Science Foundation of Henan Province(Grant NO:23230042151)+1 种基金Science and Technology Innovation Team Support Plan of Colleges and Universities in Henan Province(Grant NO:21IRTSTHN029)the Foundation of National Key Program of Research and Development of China(Grant No:2016YFC0900803).
文摘Objective To investigate hypertension(HTN)trends,key risk factors,and gender disparities in rural China,and to propose targeted strategies for improving HTN control in resource-limited settings.Methods This longitudinal study used data from the Henan Rural Cohort Study,including baseline(2015–2017;n=39,224)and follow-up(2018–2022;n=28,621)participants.HTN was defined as systolic/diastolic blood pressure≥140/90 mmHg,self-reported diagnosis,or use of antihypertensive medication.Severity was classified using a 7-tier blood pressure(BP)staging system(optimal,normal,high normal,and HTN stages 1–4).A generalized linear mixed-effects model(GLMM)identified associated risk factors.Results HTN prevalence increased modestly from 32.7%(95%CI:32.2–33.2)to 33.9%(95%CI:33.3%–34.4%).Awareness and treatment improved from 20.1%to 25.3%,and from 18.8%to 24.4%,respectively,but control rates remained low(6.2%to 12.3%).After adjustment,women had a 1.53-fold higher HTN risk than men(OR=1.53,95%CI:1.43–1.63),revealing gender-specific trends.Key risk factors included alcohol use(OR=1.37,95%CI:1.27–1.47)and overweight status(OR=1.76,95%CI:1.66–1.86).BP staging showed an increase in optimal BP(42.3%to 45.8%),but stagnant management of advanced HTN stages.Conclusion Hypertension in rural China is shaped by behavioral risk factors and healthcare access gaps.Gender-sensitive,community-based interventions,including task-shifting models,are necessary to mitigate the growing burden of hypertension.
文摘Economic violence is a form of domestic violence that extends beyond physical harm,affecting victims’economic stability and independence.This situation perpetuates gender inequality and also reinforces the cycle of gender-based violence.With definitions of economic violence broadening to encompass a range of coercive and manipulative behaviors-from financial abuse in domestic violence scenarios to the economic harassment faced by stay-at-home moms-understanding this form of exploitation is crucial for crafting effective interventions.This article aims to delve into various facets of economic violence,including its definition,prevalence,and the stark realities it creates for its victims.Following the search of international databases:Social Work Abstracts(EBSCO),Psychology Abstracts,Family and Women Studies Worldwide,Psychiatry Online,Psych INFO(including Psych ARTICLES),PubMed,Wiley,and Scopus,60 peer-reviewed articles that met all inclusion criteria were included in the paper.Our review clarifies that looking forward,the call for a comprehensive understanding of economic violence,enhanced legal frameworks,and the strengthening of supportive networks underscore the multidisciplinary approach required to combat this issue effectively.
基金supported by the Guangdong Education Science Planning Project(2024GXJK612).
文摘This study examined how social desirability responses confound the relationship between gender and social media addiction.A total of 496 college student social media users(females=310,62.5%,mean age=20.15,SD=1.26)completed an online questionnaire on Social Media Addiction and Social Desirability.Mediation analysis revealed that females were at higher risk for social media addiction.On the other hand,the indirect effect of gender on social media addiction via social desirability is associated with lower social media addiction,which suggests that social desirability had a suppression effect on social media addiction associated with gender.ANOVA results showed that females reported higher social media addiction scores than males in the low social desirability group;in the high group,gender differences were insignificant.This study’s unique contribution is to suggest that females are at higher risk than males for developing addictive social media behaviors.Based on this finding,student social media safety interventions should be gender sensitive to the social desirability effect on females who may hide their true addiction as a result.
文摘The objective of the study is to examine the moderating influence of gender on the relationship between cultural values and Islamic work ethics(IWE)among Palestinian Arab high school teachers in Israel who represent an ethnic and religious minority within a Western-oriented framework.The study sample comprised 1,245 Arab teachers(759 females and 476 males).Data analysis was conducted using structural equation modeling with AMOS,focusing on path analysis.The research findings highlight a substantial relationship between cultural values and Islamic work ethics,with gender as a moderating variable.Additionally,the results indicate a significant positive relationship between the cultural value dimension of uncertainty avoidance and both dimensions of Islamic work ethics-dedication and social responsibility in the workplace,along with independence,diligence,and achievement.In contrast,a pronounced and significant negative relationship was identified between the cultural dimension of femininity/masculinity and these two dimensions of Islamic work ethics.
基金funded by the 2023Laibin City Philosophy and Social Science Research Project(No.2023LBZS035)2024Guangxi Student Innovation and Entrepreneurship Training Program Project(No.S202411546046X)2025 Research Project of Guangxi Science&Technology Normal University(No.GXKS2025YB020).
文摘Objectives:Suicidal ideation is a strong predictor of suicide deaths,which refers to the consideration or desire to give up one's own life.Left-behind children in rural China are more vulnerable to psychological problems and suicidal ideation compared to their non-left-behind peers.The aim of the current study was to examine two potential protective factors,negotiable fate belief and coping self-efficacy,and to test the mediating role of coping self-efficacy in the relationship between negotiable fate belief and suicidal ideation.We also analyzed gender differences in this mediation model.Methods:Across-sectional survey was conducted in rural areas ofChina.A sample of 526 left-behind children(285 males,54.18%;241 females,45.82%;Meanage=13.29 years,SD=0.97 years)was recruited to complete the Negotiable Fate Belief Scale,Coping Self-Efficacy Scale,and the Positive and Negative Suicide Ideation Inventory-Negative Scale.We used structural equation modeling to test the mediation model and multigroup analysis to test the moderation effect of gender.Results:Negotiable fate belief is negatively correlated with suicidal ideation(r=-0.13,p<0.01).Moreover,coping self-efficacy mediates the relationship between negotiable fate belief and suicidal ideation(β=-0.06,95%confidence interval(CI)[-0.12,-0.02]),accounting for 35.29%of the total effect.Finally,the mediating effect of coping self-efficacy was found to be significant only for female left-behind children(male:95%CI[-0.09,0.07];female:95%CI[-0.16,-0.01]).For female left-behind children,the mediating effect was complete,with a coefficient of-0.06,accounting for 85.71%of the total effect.Conclusions:The relationship between negotiable fate belief and suicidal ideation among rural left-behind children is mediated by coping self-efficacy,and this mediation effect was moderated by gender.This study provides a theoretical explanation for how cultivating the belief in negotiable fate and coping self-efficacy is effective for reducing suicidal ideation of rural left-behind children.
基金Supported by the Central Guiding Local Science and Technology Development Fund Project,No.YDZX2022091。
文摘Attention deficit hyperactivity disorder(ADHD)turns into a common neuro progressional disorder.Although gender identity has obtained increasing attention in ADHD researches,its role in ADHD presentation and treatment response remains underexplored.Our review seeks to mainly delve into the effect of gender identity on ADHD,exploring the unique needs of individuals with various gender identities in the context of ADHD symptoms,diagnostic assessment,and treatment,with the goal of supplying theoretical support and practical recommendations for future research and clinical practice.The primary content includes,specifically:(1)Symptom expression differences:Gender identity significantly affects ADHD symptoms;male-identified individuals commonly perform worse in task orientation and attention stability,while female-identified individuals may demonstrate more variability in attention control and executive functions;(2)Diagnosis and treatment:Clinical practice generally neglects the impact of gender identity on ADHD management,with personalized needs of gender-identified individuals frequently not adequately addressed,potentially,affecting treatment outcomes;and(3)Future research directions:Future studies should further assess how gender identity affects the specific mechanisms of ADHD,conduct researches in multicultural contexts,and engage in long-term follow-up studies to evaluate the long-term impact of gender identity on ADHD progression.Besides,enhanced funding and public education on the relationship between gender identity and ADHD are needed to advance the field.
文摘Objectives:The climate crisis demands urgent action from all sectors of society,including young people in higher education.While previous research has explored individual and contextual predictors of pro-environmental behaviour(PEB),the contribution of Positive Youth Development(PYD)remains underexplored.This study investigates the relationship between PYD dimensions(Competence,Confidence,Connection,Character,and Caring)and two environmental outcomes:environmental habits and climate change awareness,considering gender differences.Methods:A cross-sectional study was conducted with a sample of 1779 students from 10 universities in Andalusia(Spain).Data were collected through an online survey assessing PYD indicators,PEB,and sociodemographic variables.Descriptive statistics,t-tests,correlation analyses,and multiple mediation models were performed.Results:Descriptive analyses indicated moderate levels of PYD dimensions and PEB across the sample.Among the 5 Cs,Caring had a positive association with environmental habits(r 0.22,p 0.001)and climate change awareness(r=<=0.30,p 0.001).Character also had a positive effect on both environmental habits(r 0.23,p 0.001)and climate<=<change awareness(r 0.30,p 0.001).Competence and Confidence were not significantly associated,and Connection=<demonstrated limited predictive value,potentially influenced by contextual or social factors.Gender differences were also identified,with women showing higher scores in Character(d 0.29,p 0.001),Caring(d 0.63,p 0.001),=<=<environmental habits(d 0.20,p 0.001)and climate change awareness(d 0.40,p 0.001),while men scored higher in=<=<Competence(d 0.57,p 0.001)and Confidence(d 0.22,p 0.001).Mediation analyses indicated that the association=<=<between gender and environmental habits was totally explained by Character(β95%CI:and=-0.02;-0.04;-0.01)Caring(β95%CI:Furthermore,the relationship between gender and climate change awareness=-0.04;-0.05,-0.02).was partially mediated by Character(β95%CI:and Caring(β95%CI:=-0.03;-0.05;-0.02)=-0.05;-0.07,-0.03).Conclusions:Females showed more environmental habits and climate change awareness than males,because of their greater scores in both Caring and Character dimensions of PYD.These findings highlight the importance of the PYD for promoting PEB and engaged citizens among young adults.Gender-sensitive and interdisciplinary interventions,such as environmental volunteering and community-based programmes,are recommended for university contexts to enhance sustainable development behaviours and values.
文摘Considering the recent study by Dobrowolska et al,which investigated sex-related differences in treatment outcomes for chronic hepatitis C infection,this letter endorses the findings that highlight significant disparities between male and female patients.The study revealed that women,particularly those in the premen-opausal and menopausal stages,exhibited higher sustained virologic response rates than men.However,postmenopausal women encounter unique challenges that merit attention.This letter emphasizes the necessity for healthcare providers to implement sex-sensitive approaches in the management of hepatitis C,acknow-ledging the impact of biological,hormonal,and psychosocial factors on treatment efficacy.By advocating tailored treatment strategies that address these disparities,we can improve patient outcomes and ensure equitable healthcare for all indi-viduals affected by hepatitis C.Furthermore,this letter calls for additional rese-arch to explore the underlying mechanisms driving these differences,ultimately contributing to more effective and personalized care of patients across diverse demographics.
文摘Optic neuritis(ON)is a focal inflammatory demyelinating disorder of the optic nerve.Although classically regarded as a sentinel event for multiple sclerosis(MS),ON also occurs in antibody-mediated entities such as aquaporin-4-IgGpositive neuromyelitis optica spectrum disorder(AQP4-NMOSD)and myelinoligodendrocyte-glycoprotein-antibody disease.In all these settings biological sex is a pivotal determinant of susceptibility,clinical expression,treatment response and long-term outcome.Data synthesized from an extensive literature analysis utilizing PubMed,Scopus,and Web of Science in this review shows that women experience ON far more frequently–with female-to-male ratios ranging from 3:1 in MS to almost 9:1 in AQP4-NMOSD–yet men,when affected,tend to accumulate irreversible neuro-axonal loss more rapidly.Sex-specific patterns arise at every biological stratum:X-linked gene dosage,epigenetic regulation,hormonal cycles from puberty through menopause,metabolic co-modifiers such as obesity and vitamin-D status,and psychosocial forces that influence healthcare utilization.By weaving these elements into an expanded narrative,the present review provides a detailed resource for clinicians and investigators aiming at gender-tailored management of ON.
文摘Background: Sickle cell anemia(SCA), a genetic hemoglobin disorder, suggests essential inner ear compromise and poor auditory processing. In humans, auditory processing differs physiologically between males and females, possibly true for SCA due to gender-specific disease pathophysiological changes. Objective: To investigate gender differences in psychoacoustical abilities, and speech perception in noise in SCA individuals and further compare with normal healthy(NH) population. Methods: 80 SCA and 80 NH normal-hearing participants aged 15-40 years were included and further grouped based on gender. Auditory discrimination for frequency, intensity, and duration at 500Hz and 4000Hz;temporal processing(Gap detection threshold & Modulation Detection Threshold) and Speech Perception In Noise(SPIN) at 0d BSNR tests were evaluated and compared between males and females of SCA and NH population. Results: SCA performed poorer compared to NH for all experimental measures. In the NH population, males performed poorer than females in psychoacoustical measures whereas within the SCA population, the reverse was true. Female participants performed better in the SPIN test in both populations. Conclusions: The adverse impact of SCA on the auditory system due to circulatory changes might cause poorer performance in SCA. Poorer performance by Female SCA is possibly due to the contrary impact of lower Hb level overlying Sickle disease.Estrogen levels and gender preference in auditory processing might lead to better performance by females within the NH population. SPIN performance depends on different attentional demands and sensorimotor processing strategies in noise beyond psychoacoustical processing may lead to better female performance in both populations.
