The ideology of healthism and low perceptions of the threat of vaccine-preventable diseases may explain the positive link between socioeconomic status (SES) and vaccine hesitancy in high-income ...countries. The present study aimed to examine the effect of three measures of SES (education, income and family economic status), the perceived threat of infectious diseases and two dimensions of healthism (personal responsibility for own health and distrust in healthcare institutions) on vaccine hesitancy, adjusting for sociodemographic variables. A cross-sectional quantitative study was performed in 2019. Non-probability sampling was employed by sending invitations to respondents over the age of 18 to participate in the study. The snowball technique was used, employing e-mails and digital social networks (Facebook, Twitter and Instagram). Data from 661 respondents were collected via 1 ka.si, an online survey tool. Multivariate regression analysis indicated that vaccine hesitancy was significantly more likely to be expressed by women (β = 0.09; p < 0.001), high-income respondents (β = 0.09; p < 0.01), those who have lower perceptions of the threat of vaccine-preventable diseases (β = 0.39; p < 0.001) and those scoring high on two healthism measures (expressing high perceived control of their own health (β = 0.18; p < 0.001) and high distrust in the Slovenian healthcare system and institutions (β = 0.37; p < 0.001)). The findings indicate that among the examined predictors, low perceived threat of vaccine-preventable diseases and low trust in the healthcare system are among the strongest predictors of vaccine hesitancy among the Slovenian public. Policymakers, physicians and other healthcare workers should be especially attentive to the public’s and patients’ perceptions of the risk of infectious diseases and distrust in medical institutions, including during doctor–patient communication and through public health campaigns and policies.
The COVID-19 pandemic has adversely affected the mental health of the general population. This holds true especially for vulnerable groups, including young people, students, and females. Our study ...examined cross-sectional changes in depressive symptoms from immediately before the COVID-19 pandemic (January/February 2020) to the second wave of the epidemic in Slovenia (January/February 2021) among female tertiary students. A multivariate analysis of two repeated cross-sectional surveys was performed using relatively homogeneous samples. The pooled sample included 418 young adult female students (Mage = 21.21 years). Depressed affect items were used to measure depressive symptomatology. All three feelings indicating depressed affect increased substantially and significantly from 2020 to 2021: feeling depressed (23% vs. 38%), lonely (16% vs. 43%), and sad (21% vs. 49%). In 2021, female students had almost a three-fold increase in the odds of reporting at least two out of three depressed affect symptoms compared to 2020 (19% vs. 43%; aOR 2.97; 95% CI 1.59–5.54; p < 0.001), adjusted for sociodemographic and socioeconomic confounders. Our findings suggest that Slovenian female students’ mental health deteriorated during the first year of the COVID-19 pandemic. Public health professionals’ efforts to combat the pandemic’s mental health-related negative short-term and potential long-term impacts should thus focus on young people, especially on younger female students.
Research shows that education increases environmental attitudes, yet there is a lack of studies examining young people’s attitudes and the role of various educational characteristics in youth’s ...environmental engagement. The main aim of our study was to examine how several educational characteristics of young people and their parents impact youth’s environmental attitudes. We employed a survey sample of 14–34-year-olds (N = 1508; Mage = 19.25 years) collected in January 2020. The impact of five educational variables was tested: maternal and paternal educational level; students’ educational stage (primary, secondary and tertiary school students); educational track of secondary students (vocational, professional and general); and youth’s educational status (currently in education vs. not in education). We controlled for several demographic and economic confounding factors in multivariate analyses. These indicate significant between-track differences in environmental attitudes among secondary school students, while educational status and educational stage have no significant impact on environmental attitudes. In addition, the father’s (but not the mother’s) education increases Slovenian youngsters’ environmental attitudes. As findings indicate significant differences between educational tracks of secondary students independent of their parental education and other personal and family characteristics, educators may want to revise vocational and professional secondary school syllabuses to include an increased number of environmental, climate change and sustainability topics.
Predictors of COVID-19 (coronavirus) vaccination have been extensively researched; however, the contextual factors contributing to understanding vaccination intention remain largely unexplored. The ...present study aimed to investigate the moderating role of economic development (Gross domestic product - GDP per capita), economic inequality (Gini index), the perceived corruption index and Hofstede's measurements of cultural values-index of individualism/collectivism and power distance index-in the relationship between determinants of satisfaction with the healthcare system, trust in political institutions, conspiracy beliefs and COVID-19 vaccination intention.
A multilevel modelling approach was employed on a sample of approximately 51 000 individuals nested within 26 countries. Data were drawn from the European Social Survey Round 10. The model examined the effect of individual- and country-level predictors and their interaction on vaccination intention.
Satisfaction with the healthcare system had a stronger positive effect on intention to get vaccinated in countries with lower perceived corruption and more individualistic countries. Trust in political institutions had a stronger positive effect on vaccination intention in countries with higher economic development and lower perceived corruption, while a negative effect of conspiracy beliefs on vaccination intention was stronger in countries with lower economic development, higher perceived corruption and a more collectivistic cultural orientation.
Our findings highlight the importance of considering individual and contextual factors when addressing vaccination intention.
Education and highbrow cultural participation—two dimensions of cultural capital—have previously been identified as determinants of vaccine attitudes, though the links have been mainly inconsistent ...across studies. The present quantitative study aimed to examine the effects of two dimensions of cultural capital (institutionalized and embodied cultural capital) on the pro-vaccine attitudes of the Slovenian public. A cross-sectional quantitative study was performed in November 2019, a few months prior to the COVID-19 pandemic. The non-probability sample survey was collected by inviting respondents over the age of 18 to participate using the snowball technique via e-mail, digital social networks (Facebook, Twitter and Instagram) and University of Maribor social network profiles. The sample was obtained through an online survey tool 1ka.si (N = 661; Mage = 34.9 years). The impact of education and highbrow cultural participation on vaccine attitudes was examined, controlling for sociodemographic variables (gender, age and size of residential settlement) and economic variables (income and family economic status) in multivariate analyses. Bivariate analyses indicated that pro-vaccine attitudes were significantly more likely to be expressed by men, younger respondents, those with lower incomes, higher perceived family economic status, living in urban areas and by those who are more frequently engaged in highbrow cultural activities, while education had no impact on vaccine attitudes. The results did not substantially change when multiple regression models were employed. Our study indicated that cultural capital has an inconsistent impact on vaccine attitudes; while education has no impact, highbrow cultural participation increases pro-vaccine attitudes. The results suggest a multi-type approach is needed to address vaccine scepticism among the Slovenian public.
Politically left-leaning individuals are more likely to get vaccinated against COVID-19, although little is known about the mechanisms underlying the ideological differences in vaccination ...intentions. Understanding the extent to which trust in the healthcare system, in complementary and alternative medicine, and the perceived threat from the disease contribute to these disparities is crucial, as it could inform targeted interventions to address vaccine hesitancy across the political spectrum.
The present cross-sectional study conducted among adults living in Slovenia (
= 858) examined the mediating role of trust in the healthcare system, trust in complementary and alternative medicine (CAM), and the perceived threat from the virus on COVID-19 vaccination intention.
We found that leftist ideology and trust in the healthcare system positively predicted vaccination intention, whereas CAM negatively predicted this intention. In addition, left-leaning individuals expressed greater trust in the healthcare system and lower trust in CAM, resulting in higher levels of COVID-19 vaccination intention. The serial mediation model confirmed that trust in CAM was a negative predictor, while trust in the healthcare system positively predicted perceived threat.
When dealing with vaccine hesitancy among right-oriented individuals, strategies should focus on enhancing trust in the healthcare system and critically evaluating the reliance on CAM.
The concentrations of the trace elements zinc (Zn), arsenic (As), manganese (Mn), copper (Cu), chromium (Cr), nickel (Ni), cobalt (Co), cadmium (Cd), lead (Pb), mercury (Hg), and iron (Fe) were ...examined in Mediterranean blue mussels ( Mytilus galloprovincialis) from the Northern Adriatic Sea to determine whether there were site differences and seasonal variations in metal concentrations and to evaluate the potential health risks of consumption of these mussels to humans. Mussels were collected between January and October 2015 from three Slovenian shellfish harvesting areas and from a lighthouse near Debeli Rtič. The concentrations of elements were determined using inductively coupled plasma mass spectrometry. The amount of each element decreased in the following order: Fe > Zn > (As, Mn) > (Cu, Cr) > (Ni, Co) > (Cd, Pb) > Hg. Statistical analysis revealed that time, that is, the month of sampling, significantly affected the concentrations of elements in mussels ( P < 0.05). The concentrations of Cr, Mn, Fe, Ni, Hg, and Pb were highest between January and March and lowest between May and September. The concentrations of other elements in mussels were not higher or lower for several consecutive months, but occasionally (some months) lower or higher content was detected. The sampling site had a statistically significant effect only on the content of Cd, Pb, and Hg in mussels ( P < 0.05). The lowest level of these elements was found in mussels from Seča, and the highest levels of Hg and Pb were found in mussels from Debeli Rtič. Debeli Rtič is, among all sampling points, closest to the outflow of the Soča River that brings heavy metals into the Northern Adriatic Sea from a closed Hg mine. Because the concentrations of Pb, Cd, and Hg in all analyzed samples were below the maximum level permitted by Commission Regulation No 1881/2006, mussels were suitable for human consumption.
Trust in science and scientists, satisfaction with the national government, and endorsement of conspiracy theories are important factors in the decision to be vaccinated. In this study, we ...investigated whether there are different profiles of individuals depending on the above factors and whether they differ in their sociodemographic composition. We used data from Round 10 of the European Social Survey for Slovenia, employing a nationally representative sample of 1252 participants. Based on latent profile analysis, three distinct profiles emerged: Profile 1 expressed moderate trust in science, satisfaction with government, and high endorsement of conspiracies; Profile 2 expressed low trust and satisfaction and moderate endorsement of conspiracies; Profile 3 expressed high trust and satisfaction and low beliefs in conspiracy theories. In addition, Profile 3 expressed the strongest support for vaccination and Profile 2 the lowest. Our results suggest that distrust, dissatisfaction, and the presence of conspiracy theories are the “perfect storm” for vaccination rejection. In contrast, despite conspiracy theories, a certain level of trust and satisfaction may reduce vaccination rejection.
The most sustainable dietary patterns involve the consumption of plant-based (vegan) foods, excluding or reducing animal products, including meat, fish, and dairy, yet there is a lack of research on ...determinants of sustainable dietary patterns in central European countries. The present article aimed to examine the prevalence of sustainable dietary practices and attitudes among the Slovenian public and to investigate the role of education in fostering sustainable dietary patterns. We analyzed a representative national sample of Slovenians, with data gathered in 2019 (ISSP/Slovenian Public Opinion; N = 1079; 51.2% females). The results indicate that most Slovenians do not have sustainable dietary practices or attitudes with regard to health, the environment, animals, and dietary minorities. One in four Slovenians consume meat at least once per day and one in two consume meat three to six times per week. In addition, 78.2% of Slovenians consume milk at least three times per week; more than half consume milk daily or more often. Fish consumption is the least frequent among the three food groups. At least two-thirds of Slovenians also hold attitudes that are low in sustainability. Results also show that, after controlling for confounding variables, higher educational level emerged as an independent predictor of lower meat consumption, but not of lower fish or milk consumption. Furthermore, those in the lowest educational group are significantly less likely to hold sustainable attitudes than those in the higher educational group. Finally, current student status only decreases meat consumption. Since our results show an educational gradient in meat consumption and attitudes, public health and environmental campaigns should focus on the less-educated groups, encouraging them to reduce meat intake and fostering more sustainable attitudes.
•13.7% faeces, 13.0% bile and 12.1% liver samples of 3-month-old pigs are HEV positive.•0.25% bile and 0.25% liver samples of 6-month-old pigs are HEV positive.•HEV was found in swab samples taken on ...the slaughter line.•Sequenced HEV strains form 4 different genotype 3 subtypes.
Hepatitis E is a zoonotic viral disease of pigs with increasing public health concern in industrialized countries. Presented broad study of hepatitis E virus (HEV) presence in pigs in Slovenia is the first attempt to overview the HEV situation in pigs entering a slaughterhouse and, further, to analyse the possibility of HEV entering into the food supply chain. 2433 samples from 811 clinically healthy pigs were collected at four slaughterhouses in Slovenia. Sampling covered three different age groups of pigs and three different types of samples (faeces, bile and liver) important for tracing HEV in a pig population. In addition, 63 swab samples were collected systematically from three different sites on the slaughter line, as well as 22 samples of minced meat and 30 bratwurst samples. All the samples were screened for the presence of HEV nucleic acids by specific real-time RT-PCR assay. In the group of three month old pigs 13.7% of faeces, 13.0% of bile and 2.1% of liver samples were HEV positive. In the group of six months old pigs only 0.25% of liver and 0.25% of bile samples were positive. In the category of sows, no positive samples were found. Two out of 63 swab samples collected on the slaughter line were HEV positive. All tested samples of minced meat and bratwurst were negative. The phylogenetic analysis of 50 HEV positive samples, with comparison of 366 nucleotides in ORF1 region, revealed high diversity of identified strains of HEV in pigs, belonging into subtypes 3a, 3b, 3c and 3e.
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