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How has Indian public opinion toward the United States, China, and Russia/USSR evolved from the 1950s to the present and to what extent does it shape foreign policy? This Element assembles and analyzes more than sixty years of survey data, including newly recovered United States Information Agency–funded polls from the Indian Institute of Public Opinion as well as contemporary nationally representative surveys from Pew, Gallup, and others. The authors use the data to examine long-run trends, short-term reactions to shocks, and the domestic cleavages that structure opinion. They argue that Indian public attitudes are more coherent and responsive to international events than commonly assumed, yet are unequally voiced across socioeconomic groups. The findings speak both to India-specific debates about democracy and foreign policy and to broader international relations theories of public opinion, accountability, and major power politics.
Affective polarization has become a central concept to explain how citizens think and behave in Western democracies. However, while research has made great progress studying the causes, consequences, and remedies of this concept, we know surprisingly little about how affective polarization actually feels. This research note contributes to recent efforts to characterize affective polarization with specific emotions. Drawing on cross-sectional data from five European countries (Denmark, Germany, Italy, Poland, and the United Kingdom; total N = 4,794), we analyze which emotions respondents report to experience toward in-party and out-party voters and which of these emotions correlate with affective polarization scores. While we find that only a few respondents report negative emotions toward in-party voters, they feel moderate amounts of hope, enthusiasm, and pride without being exuberant. Fear-related emotions toward out-party voters are rare, and while one in five respondents experiences extreme anger, disappointment, or disgust toward opponents, up to 50% experience these emotions just slightly or not at all. The emotions most consistently related to affective polarization are positive emotions toward in-party voters and – to a lesser extent – aversion, hate, and disgust toward opponents. We describe patterns across countries and demographic backgrounds and highlight a practical implication: affective polarization feels more positive than what prevailing notions of ‘fear and loathing’ let believe.
Coastal, riverine, and lacustrine environments have played a central role in the development of human societies, yet locating and documenting this record of activity in littoral environments have proven difficult. Terrestrial survey methods reach their limit at the water’s edge, whereas marine geophysical equipment often struggles in depths of less than 1 m. This “white ribbon” of missing data represents a persistent methodological gap but one that is rich in information. Recent work on Scottish crannogs, or artificial islands, has highlighted this predicament while also providing a test bed for practical solutions. This article presents the results of that work: a robust and repeatable workflow for high-resolution shallow-water photogrammetry, tested in challenging conditions and benchmarked against the GNSS-enabled accuracy of drone surveys. The approach combines stereophotogrammetry, using artificial scale bars for internal calibration, with ground control points to enable the integration of terrestrial and underwater data. This method is both accessible and efficient, offering a replicable framework for recording archaeological sites at the water’s edge.
The symbiotic relationships between Black politics and religious institutions have often been understood through the lens of the Civil Rights Era and the political significance of the Black Church. Today, religious organizations remain an important pillar of Black political organizing, with particular focus on Black Protestant Churches. Given the increasing Black Muslim population, we examine the relationship between Black religious socialization and political attitudes. We view these identities intersectionally and investigate how religion may produce within-group differences with respect to both religious and racial identity development, which in turn produces some variation in political attitudes. Using the 2020 Collaborative Multiracial Post-election Survey (CMPS) and the 2020 PEW Survey of Black Faith, we demonstrate that perceptions of Black collective identity and religious identity differ for Black Christians and Black Muslims. Importantly, linked fate and identity importance differently predict political attitudes even if the political attitudes fundamentally remain similar.
An account of the earliest known works on outer billiards is accompanied by a reproduction of the summary of B. H. Neumann’s 1959 colloquium and some highlights from the theory.
Videoconferencing cognitive behavioural therapy (VCBT) has gained increased attention in recent years. While in-person CBT is well-studied, there is limited research on therapists’ attitudes towards delivering CBT through videoconferencing. A cross-sectional online survey on preferences and attitudes towards videoconferencing was distributed to CBT clinicians, mainly psychotherapists, psychologists, and counsellors, during the COVID-19 pandemic. A total of 140 complete responses were analysed using descriptive statistics. Most respondents expressed positive or very positive attitudes towards VCBT, considering it a time efficient option, suitable for building a therapeutic alliance. Agenda setting, goal formulation, assigning and reviewing homework, providing booster sessions, and guided self-help support were the CBT components most respondents perceived as best fitted for the videoconferencing format. In contrast, role-play, exposure with response prevention, and interpersonal skills training were rated as the least suitable techniques. VCBT was considered most appropriate for treating insomnia, stress-related conditions, and anxiety disorders, and least appropriate for bipolar disorder, trauma-related conditions, and specific phobias. The findings indicate that Swedish CBT clinicians largely viewed videoconferencing as a viable format during the COVID-19 pandemic, particularly for diagnostic groups commonly treated with face-to-face CBT and with the use of structured and highly verbal CBT techniques. However, the use of VCBT for more complicated conditions, as well as using interpersonal, experiential and skills training techniques, was perceived as less suitable. Further research is needed to examine clinician preferences and training needs, and the development and delivery of specific CBT components through video, including for more complex cases and younger age groups.
Key learning aims
(1) CBT clinicians had generally positive attitudes towards working with VCBT during the COVID-19 pandemic.
(2) CBT clinicians preferred structured and verbally provided techniques, over interpersonal and more experiential techniques, when using the videoconferencing format.
(3) CBT clinicians perceived VCBT to be suitable for diagnoses commonly treated with face-to-face CBT, such as insomnia, anxiety disorders, and stress.
(4) Most CBT clinicians also perceived VCBT as time saving and suitable for maintaining a therapeutic alliance.
(5) A session length of at least 30 minutes was preferred among CBT clinicians.
Legislators may consider the preferences of both business actors and citizens when making trade policy decisions. But when business and citizen preferences diverge, what makes legislators more responsive to one side or the other? We argue that when levels of political engagement are kept constant, legislators are more responsive to citizens than business. This effect should be particularly large for left-leaning legislators and legislators who conceive of themselves as delegates. We use three survey experiments with over 1000 legislators from 47 countries across the globe and qualitative evidence from an open survey question and 30 interviews with legislators to test our expectations. Based on this unique evidence, we find strong support for our expectations. These findings contribute to research on trade policy-making, the interaction between elites and the public in international relations, and responsiveness.
There is growing public health interest in ultra-processed foods (UPF), but limited research exploring consumers’ perceptions of these foods in the United States. We aimed to characterise consumers’ beliefs about UPF, the association between perceived food processing and perceived food healthfulness and alignment between consumers’ perceptions and objective measures of food processing and healthfulness.
Design:
In a cross-sectional survey, participants answered questions regarding their beliefs about UPF. They rated the healthfulness and processing levels of a random selection of ten out of forty possible foods. We used descriptive statistics to examine participant beliefs about UPF. We used linear regression models to test associations between perceived processing and perceived healthfulness and between objective and perceived measures of food healthfulness and processing.
Setting:
We fielded an online survey in the USA in November 2023.
Participants:
This study included US adults aged ≥ 18 years (n 4455).
Results:
Fifty-four percent of participants correctly identified UPF as ‘Food products submitted to a series of industrial processing’ and 52 % correctly identified UPF as, ‘Food products that contain artificial ingredients’. However, one-third of participants believed UPF were genetically modified products. While foods with higher perceived processing tended to have lower perceived healthfulness and individuals perceived UPF as more processed and less healthful than minimally processed foods, healthfulness perceptions better aligned with Food Compass 2.0, a measure that integrates food processing and nutrient-profile.
Conclusions:
Educational and policy efforts (e.g. food labeling) are needed to help consumers distinguish UPF and holistically assess the healthfulness of foods and beverages.
Chapter 5 examines the representational role of moral rhetoric. Moral rhetoric can be considered parties’ attempts to signal that they represent the moral values of the electorate. If so, how important is moral rhetoric as a form of moral representation? I answer this question by examining people’s attitudes about moral rhetoric in politics. I theorize that many voters want some level of moral discourse in politics, although there is variation in attitudes. I further theorize that demand for a party’s moral rhetoric exists not only among voters who support the party but also among voters who appreciate moral reasoning in politics, even if they do not support the party. Survey data from six countries show that many voters indeed want to see moral discourse in politics. Moreover, voters’ demands for moral rhetoric have partisan and nonpartisan antecedents. A voter’s copartisan status with the party positively predicts greater demand for moral rhetoric, but so does a voter’s reliance on moral reasoning when thinking about politics, holding partisanship constant. In short, we learn that moral rhetoric has representational significance for broad groups of the electorate.
We develop and validate a survey instrument to elicit six key economic preferences in children: undefined time preferences, risk preferences, altruism, positive reciprocity, negative reciprocity, and trust. The survey was administered to a sample of 339 nine-year-old children, for whom we also collected behavioral data through incentivized choice experiments targeting the same preferences. Our econometric analysis allows us to identify a set of 14 survey items that best predict children’s experimental behavior. For each preference, we also compare the predictive power of this 14-item validated survey to a shorter 9-item self-evaluation version. Our results demonstrate that these surveys provide a simple and reliable tool for measuring individual preferences in children – enabling researchers to account for heterogeneity when designing and evaluating policies targeting younger populations.
Chapter 5 transitions from theory to practice, offering in-depth empirical evidence of protest brokers in action within South Africa. Drawing on over 26 months of ethnographic fieldwork, interviews, and surveys, this chapter shows that protest brokers are not only real but central to the organization of protest at the local level. It introduces the 37 brokers at the heart of this study, detailing who they are, why they act as intermediaries, and how they use their local knowledge, trust, and networks to mobilize communities on behalf of socially distant elites. The chapter also illustrates significant variation among brokers – reflecting the typology developed in Chapter 3 – and shows how these differences influence the brokers’ roles, scope of influence, and strategies. It also explores the dual relationships brokers maintain: with elites and with the specific communities they mobilize. Brokers emerge as highly skilled actors who manage reputations carefully, possess intimate knowledge of their communities, and selectively mobilize based on tightly defined social boundaries. By grounding the theoretical framework in rich qualitative and quantitative data, this chapter establishes protest brokers as indispensable actors in collective action processes.
The International Neuropsychological Society (INS) Justice and Equity Subcommittee initiated a survey of neuropsychological academic training programs, clinical practices, and research across Africa, examining respondents’ interest in collaboration and their views on resources needed to advance the field.
Method
This quantitative, cross-sectional study employed chain-referral sampling at higher education institutions identified via uniRank. Of the 1,244 institutions screened, 241 offered psychology or psychiatry coursework. A multilingual cover letter and survey link (English, Swahili, Arabic, French, Portuguese, Spanish) were distributed, yielding 42 respondents from 17 of 54 countries (≈31.5% country response rate).
Results
Most respondents were clinical psychologists or neuropsychologists and reported 1–5 neuropsychologists per country. Neuropsychologists’ roles included cognitive assessment, research, teaching, and assisting in neurological diagnoses, primarily using tests developed outside Africa. Current research centered on the neuropsychological effects of psychiatric disorders, infectious diseases (e.g., HIV, cerebral malaria), and neurodevelopmental disorders, with future focus areas identified as traumatic brain injury and epilepsy. Educational and training opportunities remain limited. Key barriers to program development included insufficient numbers of trained neuropsychologists, clinical training sites, and employment prospects. Despite this, there is strong interest in collaboration to accelerate the development of neuropsychology and neurosciences, given the heavy burden of neurological disease.
Conclusion
To foster growth, efforts must target the creation of academic and clinical training pathways and the adaptation, standardization, and norming of assessment tools tailored to African populations. There exist ample impactful avenues for individual and organizational collaboration or support to further the global development of neuropsychology.
Public opinion surveys are an indispensable tool for studying politics in Southeast Asia. But publicly available data are often in short supply in the region. To this end, we introduce SIKAP, a harmonized and open-access dataset of 58 weekly surveys (N = 95, 923) conducted in advance of, during, and in the aftermath of the 2024 Indonesian general election. We describe the data collection procedures and assess the quality of the sample. We demonstrate its utility by analyzing the effects of two political events on Indonesian voters’ attitudes in almost real time. First, we show that a constitutional crisis in August 2024 where the coalition of then President Joko Widodo (Jokowi) defied the Constitutional Court’s rulings led to a sharp but ultimately temporary decline in the public’s approval of Jokowi. Second, we show that voters who supported candidates other than Prabowo Subianto in the general election report large and persistent declines in support for democracy in the aftermath.
This manifesto argues for a global exchange of wisdom such that, on one hand, those worst affected by climate change have a good understanding of its causes and consequences, and, on the other hand, their knowledge and experiences are fully incorporated into the international understanding of this global challenge. Taking the example of Uganda, it highlights that although many young people are experiencing the effects of climate change first hand through flooding, landslides or the impacts on agriculture and the wider economy, there is a widespread lack of understanding of the drivers, with local deforestation viewed as the main cause. This leaves young people only partially prepared for the future of worsening climate disruption. Climate change education, with indigenous examples to help pupils apply a broader lesson to a local context, can inform young people and empower them to respond. Sharing insights internationally and incorporating them into global educational offerings can support climate justice.
Backers of nuclear deterrence are thought to use strategic logic, while nuclear disarmament advocates are believed to embrace moral reasoning. Yet policy makers and diverse publics may hold both—ostensibly contradictory—preferences. Recent studies find that publics in Western democratic countries support the nuclear strikes underpinning long-standing conceptions of deterrence policy. But other scholarship indicates that these very same publics want to abolish nuclear arsenals. A lack of comparative analyses across the Global North and the Global South limits the generalizability of these claims. Does a categorical dichotomy between nuclear deterrence and disarmament really reflect global public views on the bomb? What explains a multitude of seemingly inconsistent scholarly results? In this reflection essay, we argue that deterrence and disarmament are not necessarily incompatible tools for reducing nuclear dangers. We point to several ways that individuals might simultaneously accommodate both pro- and antinuclear weapons policy positions. To investigate this proposition, we offer a new observational dataset on global nuclear attitudes from a survey we conducted in 24 countries on six continents (N = 27,250). Unlike isolated studies of these phenomena, our data strongly confirm that publics do not subscribe to categorical views of nuclear weapons. This headline finding and novel dataset open new possibilities for studying nuclear politics.
Cognitive fatigability (CF), which refers to a decline in performance during sustained cognitive effort, can significantly impact people with multiple sclerosis (PwMS). This study examined the unmet needs related to perceived CF in PwMS.
Methods:
One hundred PwMS completed a survey assessing factors known to contribute to CF. Participants indicated whether each factor, including CF itself, was disruptive and whether adequate support was available to address these concerns. A factor identified as disruptive and insufficiently addressed was considered an unmet need (Need Index [NI] ≥50%).
Results:
Group-level analysis revealed no significant unmet needs, although fatigue (NI = 30.23), CF (NI = 22.96) and physical activity (NI = 19.55) were more frequently reported. Individual-level analyses revealed that unmet needs varied by community setting (rural vs urban) and socioeconomic status (SES) (lower vs higher SES), with rural participants and those with lower SES reporting higher rates of unmet needs. In addition, PwMS who indicated CF was an unmet need reported more difficulties across most contributory factors, including sleep quality, fatigue, cognitive impairment, depression and contextual factors. The presence of fatigue and CF combined contributed to greater unmet needs across various domains, especially fatigue, CF and cognitive impairment, compared to fatigue alone.
Conclusions:
Participants from rural and low socioeconomic backgrounds were more likely to have unmet needs. Notably, 36% of participants (N = 33) reported unmet needs related to perceived CF. The findings highlight the importance of tailoring future interventions to address identified needs more adequately.
Mental health literacy (MHL) is the ability to recognise mental disorders; have knowledge of professional help available, effective self-help and prevention strategies; and have the skills to support others. MHL is linked to better help-seeking behaviours and better management of mental illness. Mental illness prevalence is increasing in Malawi. Assessing MHL in communities crucially helps identify knowledge gaps, informing the development of evidence-based interventions.
Aims
This study assessed the MHL levels of young adults (16–30 years old) in rural and urban communities in Malawi.
Method
A cross-sectional national survey was administered to 682 people across 13 districts in Malawi, using a self-reporting Mental Health Literacy questionnaire (MHLq) that assessed knowledge of mental health problems, erroneous beliefs/stereotypes, first aid skills, help-seeking behaviour and self-help strategies.
Results
Most respondents were either unemployed (36%) or enrolled in school (43%). A total of 73% completed primary or secondary education, and 48% knew someone with a mental illness, but only 14% of this group could specify the illness. The mean MHL score was 111.8 (s.d. 13.9). Individuals with primary and secondary school qualifications had significantly lower scores in factor 2 (erroneous beliefs/stereotypes) and factor 3 (first aid skills and assistance-seeking behaviour) of the MHLq than those with higher education.
Conclusions
This research highlights persisting mental health misconceptions, limited knowledge about specific mental illnesses and low help-seeking behaviour among young adult Malawians. Higher education is linked to a better understanding of mental health. Prioritising community education on causes, signs, treatments and prognosis of mental illness is crucial for increased MHL.
Few studies report the evaluation of the use of Health Technology Assessment (HTA) organizations’ knowledge products.
Objectives
To determine (a) the stakeholders’ use of the products disseminated by the ‘Institut national d’excellence en santé et en services sociaux’ (INESSS), and (b) the variability of use according to user characteristics and product properties.
Methods
A prospective web survey was performed. We included all participants who accessed INESSS products and voluntarily completed an online questionnaire from 1 January 2021, to 31 December 2022. For each rated product, the participants’ use and intention to use were documented using the content-validated Information Assessment Method (IAM) questionnaire. Descriptive statistical analyses were conducted.
Results
A total of 7041 responses were gathered. After removing incomplete and ineligible responses, we were left with 5236 responses; 74.4 percent of responses were from women; 5014 (95.8 percent) reported that the product was relevant; of those, 4322 (82.5 percent) indicated that the respondent was satisfied; of those, 4096 (78.2 percent) reported that the product was used or had an intention to use the product. Regarding products’ use (n = 3023; 57.7 percent), there was no difference between regions with versus without medical faculties. Older participants were less likely to report using a product. Products with recommendations were more likely to be used, and healthcare professionals were more likely to use the products compared to other participants.
Conclusions
Current findings help identify audiences for targeted dissemination, guide user engagement strategies, and inform product refinement. Recommendation-containing products show the greatest uptake, particularly among younger professionals.
The measurement of sodium excretion in 24-h urine samples is the recommended method to assess dietary salt intake to monitor salt-related public health policies. Ensuring complete collection of 24-h urine samples is important for the accurate assessment of salt intake. We compare the use of the objective biomarker, recovery of para-aminobenzoic acid (PABA), to self-reported 24-h urine completeness. Data collected from 868 men and women aged 19–64 years from the England Sodium Survey 2018/2019 (part of the UK National Diet and Nutrition Survey (NDNS)) were used to compare self-reported 24-h urine completeness based on a collection duration of 23–25 h, no missed urine collections/voids and a minimum urine volume of > 0·4 L against completeness based on the urinary recovery of oral doses of PABA. Two-thirds (69 %; 561/812) of participants who adhered to the PABA protocol provided a complete 24-h urine collection. Assessed by self-report, 71 % (619/868) of participants provided a complete 24-h urine collection. Sodium excretion was (geometric mean (interquartile range)) 127 (97–170) mmol/24 h with PABA and 126 (97–169) mmol/24 h by self-report; salt intake was 7·40 (5·65–9·94) g/d and 7·38 (4·53–8·83) g/d, respectively. The proportion of participants above the UK-recommended salt intake of 6 g/d was 70 % by both PABA and self-report. This study shows that the use of self-report of 24-h urine collection completeness provides an assessment of sodium excretion and dietary salt intake with the same accuracy as when PABA recovery is used to assess completeness.
Research into the Developmental Origins of Health and Disease (DOHaD) has established links between environmental exposures in early life and later-life health outcomes. Emerging interventions typically focus on improving maternal nutrition and neonatal healthcare practices yet often neglect to assess or enhance subject understanding of potential long-term impacts or to communicate the benefits of maximising parental health prior to conception. This study critically evaluates a survey tool developed to measure knowledge of non-communicable diseases (NCDs) and early-life contributors to lifelong health. The rationale behind the wording and format of the questions is examined alongside options for coding and statistical interpretation of the data. Considerations for implementation are discussed, illustrated by key findings arising from tracking of the tool’s application in Aotearoa New Zealand over ten years. We demonstrate that the survey tool can be adapted for use in a variety of contexts, producing both quantitative and qualitative baseline data suitable for informing health promotion interventions and monitoring changes in population knowledge. This research also highlights a key difference between awareness of and understanding of scientific concepts and the importance of distinguishing between these when considering public engagement with science.