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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.
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.
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.
Interest groups differ in the strategies they use to influence public policy. Some mainly try to gain access (i.e., have direct contact with decision makers), whereas others tend to ‘go public’ by launching campaigns that aim to mobilise the broader public. In this article it is argued that group type – namely the distinction between business associations, professional associations and citizen groups – is a major determinant of the choice of strategy. The effect of group type, however, is conditional on the group's endowment with material resources and the issue context: the differences across group types are largest for resource‐rich associations and associations active in distributive policy fields. Original data from surveys of national associations in five European countries (Austria, Germany, Ireland, Latvia and Spain) enable the assessment of this argument. The theoretical expectations are supported, with the results having relevance for the normative evaluation of political systems and the positive study of interest group influence.
What is the association between partisanship, individual views and behaviours towards the pandemic? This research note explores this question empirically using two datasets collected before and during the Covid‐19 pandemic: a daily survey covering nearly 100,000 individuals and county level mobility matched to UK 2019 general election results. At the individual level, our findings show that partisanship is strongly correlated with differences in both views and behaviours. Conservative voters were less likely to perceive Covid‐19 as dangerous and less likely to stay home during the national lockdown. At the county level, the effect of the national lockdown on mobility was negative and statistically significant only in less Conservative counties. Thus, partisanship is associated with different individual views and behaviours towards the pandemic even when there is broad consensus among the main political parties and the government about the nature of a public health problem and the appropriate policy response.
Seabirds are excellent ecosystem indicators and are amongst the most threatened taxa globally. Aldabra Atoll, Seychelles, supports significant breeding colonies of seabirds, especially red-footed boobies Sula sula. The population was surveyed by boat during 1968–1969 and in 2000, over which period the population grew from c. 6,500 to 10,000 breeding pairs. In 2022–2023, we monitored five subcolonies across Aldabra to determine breeding phenology and breeding success. In August 2022 and February 2023, we surveyed the atoll-wide population using the boat-based survey methodology followed in earlier studies. We also carried out unmanned aerial vehicle (UAV) surveys in February 2023 to compare the results with the boat-based counts and to quantify inland colonies undetectable by boat. Boat surveys revealed that Aldabra’s red-footed booby population had grown to 36,720 pairs by 2023, an increase that is intrinsically possible based on our population model but only if the much lower count in 2000 was an underestimate. The UAV and boat counts were closely aligned in our study, and aerial images captured a similar number of nests to boat surveys for shoreline colonies. However, UAV surveys revealed several undocumented inland colonies. An additional 5,574 inland breeding pairs of red-footed boobies were counted from images captured inland during aerial surveys in the 2023 wet season, bringing the atoll-wide population to at least 45,817 pairs. We recommend UAVs for surveys of large, conspicuous seabird species at low-lying mangrove colonies. Our study highlights the global importance of Aldabra as the most significant red-footed booby colony in the Indian Ocean and possibly the world.
The Acholla Archaeological Project is an international collaboration at the site of Acholla (Tunisia) between the Institut National du Patrimoine (INP), Dickinson College and the University of Oklahoma, with additional support from the University of Leicester and the Endangered Archaeology in the Middle East and North Africa (EAMENA) project. The first season of the project took place in June 2025, focusing on three main tasks: fieldwalking, topographic survey and architectural documentation. Over a period of two and a half weeks, an area of over 25 ha was covered by a fieldwalking team and nearly 40,000 finds were collected for study and analysis. Topographic and architectural surveys were also undertaken to begin the process of creating an updated plan of the site. The work accomplished this season has already yielded new information about Acholla and has provided a strong foundation for future fieldwork campaigns and further research at this important coastal site.
Recent studies on Street-Level Bureaucracy (SLB) have diversified significantly, especially following Brodkin’s 2011 call to include non-public actors in analyses of public policy implementation. Discretion remains central, often framed as a source of tension between management and workers, particularly in light of new organizational practices such as accountability and digitization. This paper shifts the focus from individual perspectives to examine discretion as an organizationally embedded phenomenon. Based on a study of 72 social workers in various public and third-sector organizations in Rome (Italy), this research explores SLBs’ discretion within contemporary, pluralistic contexts, thereby allowing for a nuanced examination of the relationships between organizational frameworks, working conditions, and public service delivery. The findings presented here underscore a strong “organizational effect” in shaping how discretion is perceived and practiced by the interviewees. This organizational effect suggests that discretion is deeply embedded in the specific institutional settings and cultural contexts in which SLBs operate.
This guide provides a philosophical framework and practical advice for gathering, analyzing, and reporting a particular type of qualitative data. These data are obtained from including an open-text box following the key quantitative question in survey-style studies with the request to ‘Please explain your response’. While many studies currently collect such data, they often either fail to report or analyze it, or they conduct unstructured analyses with limited detail, often mistakenly referring to it as ‘thematic analysis’. Content analysis provides a well-established framework for analyzing such data, and the simplicity of the data form allows for a highly pragmatic and flexible approach. The guide integrates the concept of reflexivity from qualitative research to navigate the large number of researcher degrees of freedom involved in the process, particularly in working with the second coder. It begins by arguing for the value of this data, before outlining the guide’s philosophy, offering advice on maximizing the validity of your data, and addressing the common concern of confabulation. It then provides advice on developing a coding scheme, recruiting and collaborating with a second coder, and writing your report, considering the potential role of large language models at these various stages. Additionally, it provides a checklist for reviewers to evaluate the quality of a given analysis. Throughout the guide, a running example is used to demonstrate the implementation of the provided advice, accompanied by extensive example materials in the online repository, which can be used to practice the method.
New field and laboratory methodologies increasingly allow scholars to collect direct data on pastoralism, including data on mobility, sociopolitical organization, and intensification/diversification of production. A discussion of each methodology – survey, excavation, zooarchaeology, archaeobotany, and geoarchaeology – assesses possibilities and limitations for an empirical and critical archaeology of pastoralism.
Despite lying at a crossroad of Pleistocene hominin dispersals, little is known about human occupation in Iraq during this period. An archaeological survey in the Western Desert is revealing recurrent hominin activity at Shbicha, highlighting the region’s potential in advancing our understanding of hominin behaviour and dispersal across South-west Asia.
Qualitative research addresses important healthcare questions, including patients’ experiences with interventions. Qualitative evidence syntheses combine findings from individual studies and are increasingly used to inform health guidelines. However, dissemination bias—selective non-dissemination of studies or findings—may distort the body of evidence. This study examined reasons for the non-dissemination of qualitative studies. We identified conference abstracts reporting qualitative, health-related studies. We invited authors to answer a survey containing quantitative and qualitative questions. We performed descriptive analyses on the quantitative data and inductive thematic analysis on the qualitative data. Most of the 142 respondents were female, established researchers. About a third reported that their study had not been published in full after their conference presentation. The main reasons were time constraints, career changes, and a lack of interest. Few indicated non-publication due to the nature of the study findings. Decisions not to publish were largely made by author teams. Half of the 72% who published their study reported that all findings were included in the publication. This study highlights researchers’ reasons for non-dissemination of qualitative research. One-third of studies presented as conference abstracts remained unpublished, but non-dissemination was rarely linked to the study findings. Further research is needed to understand the systematic non-dissemination of qualitative studies.
An intensive archaeological surface survey of the El Argar site and its hinterland has provided new information for the discussion of early sociopolitical complexity in the western Mediterranean. This article presents the preliminary interpretation of a long-term settlement pattern, particularly in the Bronze Age.
The present study examines the influence of non-economic factors on women’s labour market participation in low-income neighbourhoods of urban areas in India. For this purpose, we conducted a survey in two slum areas of Kolkata city in West Bengal – one, located in a residential neighbourhood, and another, situated in the dock area of the city and surrounded by factories. Our survey of 384 ever-married working-age women makes three noteworthy observations. First, the location of slums crucially affects the type of paid work that is available and accessible to women. Secondly, although women’s entry into the labour market maybe crisis-driven, the women workers develop an intrinsic valuation of paid work as their right, and as a means of livelihood in the process. Finally, social and community norms explain both the non-participation and the temporary withdrawal of women from the labour force. Thus, the inability and/or the unwillingness of slum women to participate in the labour market primarily stem from the strict adherence to patriarchal norms in general, and community norms in particular, either imposed on them directly by their spouses or indirectly by the community they reside in. Therefore, our analysis highlights the need for tailor-made policies that meet locality-specific needs.