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The purpose of this paper is to understand the pattern and perception of alcohol drinking among the Lahu people in northern Thailand.

A qualitative method was used to elicit information on the patterns and perceptions of alcohol drinking amongst the Lahu tribespeople. Question guidelines had been developed from literature reviews and approved by three experts in the field of public health and alcohol studies. A total of 21 participants of different ages and sexes from 3 separate Lahu villages were invited to provide information. All interviews were taped and transcribed before analysis. A content analysis was used.

Lahu people begin alcohol consumption at an average of 12 years, with males usually beginning before females of the same age. Consuming alcohol is perceived to be a sign of adulthood and is also used as a means of gaining social acceptance from others in the community. Alcohol is consumed throughout the year with young and old, male and females, describing varied reasons for drinking. Income, parental behavior, and peer pressure contributes to the onset of alcohol drinking among young Lahu people. Several factors contributed to the use of alcohol among the Lahu people such as sex, age, occupation and income, peer pressure, taste and price as well as cultural adaptations amongst the farming community that play a significant role in the frequency of alcohol consumption amongst the Lahu community.

The results should support the development of peer education on the negative impact of alcohol use among the young people, and development of a community agreement on reducing excessive alcohol use in the Lahu community should be implemented.

The purpose of this paper is to develop a process model for the role transformation of vulnerable consumers through support services.

The study is based on four years of participant observation at a community-based support service and in-depth interviews with the consumers. Visual ethnography was used to document the process of the consumers' role transformation through service exchanges.

The main outcome of this study is a consumer transformation model, describing consumers' role transformation processes, from recipients to generic actors. The model demonstrates that vulnerable consumers will transform from recipients to quasi-actors before becoming generic actors.

Vulnerable consumers' participation in value cocreation can be promoted by providing social support according to their dynamic roles. By enabling consumers to participate in value cocreation, social support provision can become sustainable and inclusive, especially in rural areas affected by aging and depopulation. Transforming recipients into generic actors should be a critical aim of service provision in the global challenge of aging societies.

Beyond identifying service factors, the research findings describe the mechanism of consumers' role transformation process as a service mechanics study. Furthermore, this study contributes to transformative service research by applying social exchange theory and broadening service-dominant logic by describing the process of consumer growth for individual and community well-being.

The purpose of this paper is to present the way in which the mainland of the German Wadden Sea area transitioned from traditional sectors into an almost entirely tourism destination, and which factors contributed to and/or necessitated such a development.

The overall approach in this paper has adopted a focus on an extensive case study of the German mainland of the Wadden Sea area. Scientific articles have been used to, first, structuring the theoretical framework and then to gain a general understanding on what a transition exactly entails. As a result, the theoretical framework has been written in an examination of existing literature on transitions and functioned as the theoretical support and foundation for the case study analysis. The analysis has been shaped by means of a number of scientific articles, branch reports, books and websites that, in most instances, specifically focused on the chosen case. Since the area of study is located in Germany, specific literature on this area was mostly limited to the German language, a language of which the author has a basic, yet not thorough, understanding. However, the overall scope of the developments in the case in regard to the transition from agricultural and fishing communities to communities in which tourism plays a substantial role has been understandable.

One of the most important sectors that economically benefit the Wadden Sea region, especially on the Dutch and German Wadden islands, is tourism. While tourism development on the Dutch mainland is minimal, the sector considerably developed in the past few decades on the German mainland, generally as a result of declining yields through multifarious unfavorable developments in traditional sectors such as agriculture and fishing, amongst others. Throughout previous centuries, Norden-Norddeich possessed some small-scale tourism facilities; however, negative developments in those traditional sectors required the municipality to prevent an impasse situation, resulting in altering business models and upscaling tourism facilities. Initiatives in different layers (micro, meso and macro) were initiated and gradually intensified in order to develop Norden-Norddeich as a counter destination for the expensive German islands. Following the phases of transition, Norden-Norddeich gradually developed and can now be regarded as a stable and dynamic holiday destination as well as a system that nowadays almost completely adheres to tourism. It took Norden-Norddeich ten years to transition toward tourism. Presently, Norden-Norddeich is the most visited mainland destination at the German Wadden Sea coast. In contrast, small-scale activities are set up in the mainland part of the Wadden Sea area in the Netherlands, but miss out on effective collaboration between different stakeholders that are involved in both planning and management (such as policy makers) and executive roles (such as the people who organize activities and/or facilities). Furthermore, the area is managed in such a way that does not contribute yet to upscaling economic development, mostly as a result of regulatory issues that hinder such developments. However, increasing efforts by several stakeholders are being taken that should ultimately lead to a sustainable socio-economic development of the Dutch mainland part of the Wadden Sea area.

Analyzing the stages of transition on the German mainland of the Wadden area might function as an example for stakeholders in villages or cities located on the mainland of the Dutch Wadden to become aware of how processes of tourism transitions occur, what factors are needed to start off such a transition and what effects a transition might have on the revitalization of a certain area. Moreover, the case of Norden-Norddeich could stand out as an example for Dutch stakeholders in the Wadden region to perceive in what way a locked-in situation could be prevented or solved by shifting from one system to another by taking on a wide range of initiatives that might be led and stimulated by different actors.

This study aims to analyze and assess 21 years of media coverage (2000–2020) of Flix, a small industrial village located in an rural area on north-eastern Spain, which has endured in these years a severe environmental and industrial crisis, with a strong potential for stigmatization of the place.

The research is conceptualized under the Social Amplification of Risk Framework, a theoretical/conceptual approach aimed at accounting for the huge gaps that often arise between public perception of technological or environmental risks of some technologies, products and places and the expert estimations of these risks. The authors studied the coverage on Flix by a local, a regional and a national newspaper through a content analysis where the corpus (1,524 news pieces) was coded for several variables, including tone, genre and thematic area.

The studied coverage was in general overwhelmingly negative and strongly focused on “bad news” relating to pollution and deindustrialization, although this was much less the case in the local newspaper than in the regional and, in particular, the national newspaper. Thus, a territorially escalated pattern clearly emerges from our research concerning the stigmatization potential of news media coverage for the specific case under scrutiny.

To the authors’ knowledge, this is the first time such a longitudinal study of media coverage and its potential for place stigmatization is performed with this specific territorial perspective.

This paper aims to present a case study-based approach to identify resource-poor communities with limited abilities to cope with the adverse effects of climate change. The study area is the Nkonkobe Local Municipality, in the Eastern Cape which is one of South Africa’s provinces ranked as being extremely vulnerable to the adverse effects of climate change because of high incidences of poverty and limited access to public services such as water and education. Although adaptive capacity and vulnerability assessments help to guide policy formulation and implementation by identifying communities with low coping capacities, policy implementers often find it difficult to fully exploit the utility of these assessments because of difficulties in identifying vulnerable communities. The paper attempts to bridge this gap by providing a user-friendly, replicable, practically implementable and adaptable methodology that can be used to cost-effectively and timeously identify vulnerable communities with low coping capacities.

A geostatistical approach was used to assess and evaluate adaptive capacities of resource-poor communities in the Nkonkobe Local Municipality. The geospatial component of this approach consisted of a multi-step Geographical Information Systems (GIS) based technique that was improvised to map adaptive capacities of different communities. The statistical component used demographic indicators comprising literacy levels, income levels, population age profiles and access to water to run automated summation and ranking of indicator scores in ArcGIS 10.2 to produce maps that show spatial locations of communities with varying levels of adaptive capacities on a scale ranging from low, medium to high.

The analysis identified 14 villages with low adaptive capacities from a total of 180 villages in the Nkonkobe Local Municipality. This finding is important because it suggests that our methodology can be effectively used to objectively identify communities that are vulnerable to climate change.

The paper presents a tool that could be used for targeting assistance to climate change vulnerable communities. The methodology proposed is of general applicability in guiding public policy interventions aimed at reaching, protecting and uplifting socio-economically disadvantaged populations in both rural and urban settings.

The approach’s ability to identify vulnerable communities is useful because it aids the identification of resource-poor communities that deserve priority consideration when planning adaptation action plans to deliver support and assistance to those least capable of effectively coping with the adverse effects of climate change induced vulnerabilities.

We conducted consumer research with more than 2,000 adults and more than 100 representatives from retirement housing providers from across the UK to identify the “perception gap” and gathered high-profile representatives from across the retirement housing sector to discuss the data.

Our research shows that the public are unsure about the benefits and services provided by retirement housing schemes – often confusing them with care homes and nursing homes to the detriment of the sector.

We identify an untapped referrer market for retirement living, that men should be targeted with entry-level information and people should be targeted before retirement age when perceptions are less “fixed”.

We show the services that matter most to ABC1 demographic and the sources they use to find information.

We outline how the sector can make retirement housing a model of “want” instead of a model of “need”.

The purpose of this paper is to describe the quasi-experiment setting to test the formulated design support (developed in the author’s PhD research) within a design research methodology (DRM) framework. This support intends to help designers to consciously engage rural families within a development aid scenario and increase their self-reliance towards their built environment (housing).

This paper elaborates on the setting in which the design support was tested within a quasi-experiment. The literature section describes the challenges in design research and why the DRM is suitable for this type of empirical research.

Findings of the paper include a workable setting to organise and evaluate the impact of a design support within a DRM framework on a vulnerable rural community.

The main limitation of the research lies in the study population. Due to financial and time constraints, only four teams could participate in the experiment conducted in rural Kenya.

Further research will need to prove that the support works in comparable situations on the African continent.

The quasi-experiment setting within a DRM framework could benefit researchers in comparable empirical investigations.

This study aims to examine the role of authenticity in tourists’ destination selection, analyze the factors that influence tourists to form their initial opinions and explore how tourists construct the authenticity of traditional villages. The authors selected Chengkan village in Huizhou district, Huangshan city, as a case. In the study, the authors constructed an attribute-hardware-software research framework and analyzed tourists’ authentic emic experiences from the perspective of constructivism. The findings of this study suggest that tourists’ destination selection is influenced by authenticity. The destination culture brokers who interact with tourists play an essential role in forming authentic experiences. According to differences in how tourists construct authenticity, the study divided tourists into three types: primitive imagination, aesthetic reality and rational cognition. The results of this study provide a deeper understanding of various viewpoints about authenticity research and contribute to the academic discussion on how to understand the authenticity of unique cultural heritage sites such as traditional villages in the context of tourism development.

The purpose of this paper is to determine the factors associated with DF occurrence in recurrence villages in Chiang Rai, Thailand.

A case-control study was conducted between June 2017 and December 2017. A validated questionnaire was used to detect the factors associated with recurrence of DF. χ² and logistic regression were used to detect the associations between variables at α=0.05.

In total, 213 cases and 436 controls were recruited into the analysis. Cases were recruited from 20 DF recurring villages, while controls were recruited from 20 non-DF recurring villages in Chiang Rai province. At community level, three variables were associated with recurrence of DF; size of the village (p=0.007), number of villagers (p=0.009), tribe (p=0.043) and distance to a hospital (p=0.003). Three variables were associated with DF at personal and family levels in multivariate model: children whose parents worked as daily employees, and government officers and traders were more likely to have DF 1.56 (95%CI=1.22–2.48) and 4.31 (95%CI=4.66–9.38) times greater than of those whose parents’ worked as agriculturists, respectively; children aged less than one year were 2.89 (95%CI=2.17–4.33) times more likely to have DF than those aged=6 and children who were under standard growth and over standard growth were more likely to have DF than those standard growth 1.61 (95%CI=1.18–2.53) and 7.33 (95%CI=4.39–10.37) times, respectively.

This is the original research article which was conducted in detecting the factors associated with recurrence of DHF in Northern Thailand.

The purpose of this paper is to examine the reliability and validity of the Abbreviated Mental Test (AMT) and the agreement with the Mini-Mental State Examination (MMSE).

This cross-sectional study included 446 older adults who were recruited by cluster sampling from 200,481 adults aged more than 60 years. For each participant, the AMT was administered by village health volunteers and, on a separate day, by a trained professional who also administered the MMSE. Descriptive statistics, Bland and Altman levels of agreement, and Receiver Operator Curves (ROCs) were used to analyze data.

Administration of the AMT by village health volunteers during the annual health screening found cognitive impairment in only 1.12% of the sample. When the AMT was given to these same individuals by trained professionals, the rate of cognitive impairment was almost 24 times greater. Two items in the Thai AMT may require modification due to markedly elevated failure rates. At the cut score of 8, the sensitivity and specificity of the AMT relative to the MMSE were moderate (78.83 and 66.67%, respectively). The degree of agreement between AMT and MMSE was 0.49 (p < 0.001) and the correlation between the difference scores and the mean is exceptionally low (0.048).

Reliable and valid cognitive screening assessment requires the administrator to be well trained and the tools to be appropriate for the population. Although AMT is short and easy for a nonprofessional to administer, some items were not suitable due to construct validity and contextual issues.