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The problematic surrounding patients' prioritization decisions are currently at the centre of political leaders' concerns. How to define whom to treat when there are not enough resources to treat everybody is the key question. This exploratory study aims to investigate the views of Bulgarian citizens regarding the relevance of the information concerning eight individual health-related behaviours in priority setting decisions: smoking, excess of alcohol, illegal drug use, overweight/obesity, speed driving, extreme sports practice, unsafe sex and overuse of internet and/or mobile devices.

Data were collected through a questionnaire where 322 respondents faced hypothetical rationing dilemmas comprising option pairs of the eight risky behaviours. Descriptive statistics and non-parametric tests were performed to define the penalization of each of the risky behaviours and to test for the association between this penalization and the respondent's health habits and sociodemographic characteristics.

Most respondents would refuse to grant access to healthcare based on patients' personal responsibility for the disease. Nevertheless, respondents were more willing to consider illegal drug use, excessive alcohol consumption, engagement in unsafe sex behaviours and smoking. Respondent's own interest or advantage seems to be somehow relevant in explaining the penalization of risk behaviours in priority setting.

This study shows that most respondents support the lottery criterion and thus do not want to see lifestyle prioritization in action.

This study is the first attempt to awaken attention to the impact that personal responsibility for health may have on intergenerational access to healthcare in Bulgaria.

Past studies have shown that acculturation has been linked with media consumption (Shi, 2005; Shohat & Stam, 1996). Some risky health behaviors are associated with immigrants’ acculturation into the American society. In this study, we investigate the association between Latino adolescents’ recreational use of media with acculturation as related to risky health behaviors such as the consumption of sugar-sweetened beverages, the experience of getting sunburns, smoking, and drinking alcohol.

Regression models were run to analyze the Latino adolescent subsample (aged 12–17) of the 2009 California Health Interview Survey (Ponce et al., 2004).

The regression models show that weekend television and video gaming are significantly associated with the number of sunburns one had in the past year (incident rate ratio = 1.008, z = 2.73), and weekend recreational computer use is significantly associated with the number of cans of soda with sugar one drank during the previous day (incident rate ratio = 1.003, z = 2.09). The use of English for the interview, age, parents’ educational attainment, household size, and gender are also found to be associated with different acculturation-related risky health behaviors investigated in this study.

This study is the first to analyze media consumption’s association with sunburn among Latino adolescents. Our findings indicate that among Latino adolescents in the United States, a large amount of media consumption can lead to risky health behaviors that were not common in Latin America. Therefore, parents should heed possible behavioral consequences when they decide on the amount of media exposure children have.

The aim of the current paper is to examine if participants attitudes and perceptions regarding risk leads to subsequent risky behaviours as this is indicative of sexual health and teenage pregnancy. The second aim was to explore if sense of coherence (SOC) (a predictor of mental health) mediates the relationship between perceived risk and risky health behaviours (RHB), or even be used as an indicator for RHB.

Young people from a targeted youth mental health programme for “at risk” teenagers, were asked to complete a battery of measures: SOC, The Adolescent Risk Behaviour Survey (ARBS) and RHB post-programme.

RHB such as drinking alcohol, taking drugs and smoking, correlated positively with attitudes to risk and negatively with SOC. Hierarchical regression analysis revealed that there was a significant relationship between ARBS and reported health behaviour, which was strengthened by SOC. SOC contributes to the relationship between attitudes and perception of risk and RHB, whereby individuals with stronger SOC were less likely to partake in RHB. Qualitative analysis revealed that the components of SOC (comprehensibility, manageability and meaningfulness) were perceptible six months minimum after the programme has been undertaken.

The present research was unable to obtain SOC baseline scores which could be used as evidence of the programme's impact. Furthermore, participants had completed the programme six months to six years previously, hence were relying on memory recall and self-report. Future research would incorporate three points of data collection on SOC in order to monitor change in relation to perceived risk and risk behaviours.

The paper provides a good framework in terms of adding value of the SOC concept for understanding the world of at risk young people and their psychological wellbeing, and a future tool for tracking whether changes occur. RHB in adolescence lead to health related problems as well as risk taking in adulthood, costing the NHS.

The intervention itself aims to target individuals at risk from being not in employment, education or training or teen parents which has wider social implications relating to educational engagement, health behaviours and the community.

The data analysis is applied to a specific group of at risk young people, on a novel intervention which uses an experiential learning model in order to encourage self awareness through the interaction with toddlers, as well as build self efficacy, improve mental health, self-esteem and decision making ability. The battery of measures used in combination within the research context is unique.

The purpose of this paper is to assess the health status and risky behaviours of inmates in Nepal.

This cross-sectional study was conducted in Jhumka Regional Prison, the largest male prison in eastern Nepal from September 2014 to August 2015. Data were collected through face-to-face interviews from 434 randomly selected incarcerated participants using semi-structured questionnaires.

The mean age of 434 participants was 35.7 years (SD 13.3). The majority (84 per cent) had at least one current health problem, of which the commonest were respiratory (50 per cent), skin (38 per cent) and digestive (26 per cent). Alcohol (73 per cent) and cigarettes (71 per cent) were the most commonly used substances prior to imprisonment. Approximately, 27 and 11 per cent reported illicit drug use and injectable drug use prior to incarceration, respectively. A total of 204 inmates reported having intercourse with sex workers. Of these, 49 per cent did not use a condom in their last intercourse with a sex worker.

This paper illustrates that a wide range of physical and mental health problems exist among incarcerated people in Nepal. The study may lack generalisability, however, as it was conducted in a single male prison.

The paper suggests a need for medical, psychiatric and substance abuse care in correctional settings to improve the health status of the prison population. It is also important to develop screening policies for blood-borne viral and other infectious diseases in the prison.

This is the first study of its kind drawn from prisons in Nepal.

The World Health Organisation recognises that health and well-being are essential to achieve the United Nations Development Agenda 2030. Non-communicable diseases (NCDs) are the leading causes of ill-health worldwide. Much of the global burden of NCD is caused by individual unhealthy behaviours. A behavioural mindset shift is needed to reduce premature NCD mortality. This article provides an exploratory analysis to understand whether Portuguese society is on the path to achieving better health by considering certain unacceptable individual lifestyles that contribute to diseases and could be avoided.

An online questionnaire was used to collect data from 558 Portuguese citizens. Descriptive statistics and non-parametric tests were used to (1) assess whether respondents were aware of premature mortality caused by NCDs, (2) explore whether individuals should be accountable for their disease-related behaviours, and (3) test for associations between this accountability and respondents sociodemographic and health characteristics.

Overall, respondents were unaware of the rate of premature mortality associated with chronic diseases and were unwilling to hold fellow citizens accountable for their unhealthy lifestyles. Following a healthy lifestyle proved relevant in the moralisation of others' unhealthy lifestyles, especially those who practice physical exercise.

This study is the first attempt to awaken attention to the impact that societies' procrastination for others' harmful health behaviours may have on achieving Sustainable Development GoalS (SDGs) and sustainable development.

The purpose of this literature review paper is to define consumer finance, describe the scope of consumer finance and discuss its future research directions.

In this paper, consumer finance is used as a synonym of household finance. Consumers refer to individuals and families. After defining the term “consumer finance,” we conducted a critical review of consumer finance as an interdisciplinary research field in terms of money managing, insuring, borrowing and saving/investing. Future research directions are also discussed.

This paper discusses similarities and differences among several terms such as consumer finance, household finance, personal finance, family finance and behavioral finance. The paper also reviewed key studies on consumer financial behavior around four key financial functions, namely, money management, insurance, loan and saving/investment and several nontraditional topics such as fintech and financial capability/literacy. The paper also introduced several datasets of consumer finance commonly used in the United States and China.

This paper clarified several similar terms related to consumer finance and sorted out the diverse literature of consumer finance in multiple disciplines such as economics, finance and consumer science, which provide a foundation for generating more fruitful research in consumer finance in the future.

Risky alcohol use can reduce productivity at work and impact employees’ mental health and wellbeing. Several risk factors converge in male-dominated industries, which can increase risky drinking and deteriorate mental health. This paper aims to explore the prevalence of risky drinking and psychological distress in a male-dominated industry compared with that in the general population.

Data were collected from four manufacturing sites in Australia. In total, 450 workers were invited to participate in a survey that measured drinking behaviours using AUDIT-C and psychological distress using the K10, along with demographics including age, gender, job role and ethnicity. The observed outcome measures were compared with general population data available through publicly available data sets.

Surveys were returned by 341 employees, of which 319 completed AUDIT-C. AUDIT-C and K10 scores were significantly correlated (R = 0.31, p < 0.0001). Hazardous drinking was more prevalent among workers than in Australian general population (66.1% vs 23.6%). Binge drinking was greater among workers than in the general population (25.4% vs 26.5%). The difference was higher among female workers than among male workers (35.1% vs 10.8%).

The findings of this study show a significantly greater risk of alcohol-related harm among workers in male-dominated industries compared with that in the general population. This risk is more pronounced among women, who also experienced greater rates of moderate and high psychological distress compared with those experienced by the general population. A fitness-for-work approach is proposed to minimise alcohol-related harm among workers in male-dominated industries. Moreover, male-dominated industries are proposed to consider the interconnectivity of other workplace health and safety factors.

The purpose of this paper is to use longitudinal Canadian data from the National Population Health Survey (1994-2006) to examine the impact of provincial unemployment rate on mental health as measured by the short form depression scale.

To control for the unobserved individual specific factors, the study utilized individual-specific fixed-effects model.

The study found that, for the overall model, provincial unemployment rate has a significant positive impact on depression. The study further examined the impact of unemployment rate on depression for a number of sub-groups based on gender, age, marital status, and education. The results suggest that the impacts of unemployment rate on depression are heterogeneous across different sub-groups.

The results of this study have important policy implications. Previous studies suggest that mental stress may lead to risky health behaviours such excessive drinking, substance use, and smoking. These risky health behaviours may have long term health consequences in terms of chronic conditions such as heart disease, cancer, etc. Thus policy makers may consider taking appropriate steps to provide mental health support during the period of recession. Such support may also be helpful for the unemployed individuals who are too depressed to search for job.

Previous studies on this issue may suffer from potential bias since they omitted unobserved individual specific factors from the estimating equations. This paper has taken the opportunity of utilizing longitudinal Canadian Population Health Survey and adopts an individual specific fixed effects method to estimate the effects of macroeconomic conditions on mental health. All of the studies reviewed here used data from the USA. So far no study has examined the impact of unemployment rate on mental health using Canadian data. It is interesting to conduct a study using Canadian data since there are important differences between Canada and the USA with respect to labour market policies and health care systems.

The purpose of this paper is to investigate the intention to prevent sexual risk behaviors and associated factors among the youth in Yangon, Myanmar.

A cross-sectional descriptive research was undertaken among 192 youths. Participants included the youth residing in the study area and participated in the youth development program. Bivariate and multivariate logistic regressions were applied to identify an association.

The findings indicated that the proportion of a high level of intention to prevent sexual risk behaviors was 53.6%. The factors associated with the intention to prevent sexual risk behaviors were: belief strength on sexual risk behaviors (aOR = 2.84; 95% CI: 1.06–7.26), normative belief on the prevention of sexual risk behaviors (aOR = 2.03; 95% CI: 3.03–6.23), motivation to comply with preventing sexual risk behaviors (aOR = 4.72; 95% CI: 3.11–6.23), decision-making (aOR = 2.46; 95% CI: 2.22–5.41) and negotiation (aOR = 6.3; 95% CI: 2.37–10.23)

The study was a cross-sectional study and cannot establish causal relationships. These results can be a guideline for implementation for the youth but may limit the generalization of results to other age groups in Myanmar.

Findings can be used as a local and national public health guideline for developing interventions to prevent sexual risk behaviors.

Sexual risk behavior is considered taboo and puts Myanmar youths at risk of health and social problems. It is important for prevention efforts to determine factors related to sexual intentions to prevent the consequence of these problems.

This paper aims to understand how young people manage the dramaturgical dilemmas related to drinking alcohol and performing multiple identities.

Drawing on qualitative data collected with 16-18-year olds, the authors adopt Goffman’s dramaturgical perspective to examine youth alcohol consumption in relation to multiple identities.

Young people continuously and skilfully juggle multiple identities across multiple contexts, where identities overflow and audiences and interactions overlap. Techniques of audience segregation, mystification and misrepresentation and justification are used to perform and manage multiple identities in a risky health behaviour context.

The approach may facilitate some over- and under-claiming. Future studies could observe young people’s performances of self across multiple contexts, paying particular attention to how alcohol features in these performances.

Social marketing campaigns should demonstrate an understanding of how alcohol relates to the contexts of youth lives beyond the “night out” and engage more directly with young peoples’ navigation between different identities, contexts and audiences. Campaigns could tap into the secretive nature of youth alcohol consumption and discourage youth from prioritising audience segregation and mystification above their own safety.

Extant work has argued that consumers find multiplicity unmanageable or manage multiple identities through internal dialogue. Instead, this paper demonstrates how young people manage multiple identities through interaction and performance. This study challenges the neat compartmentalisation of identities identified in prior literature and Goffman’s clear-cut division of performances into front and back stage.