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Evidence is accumulating of the negative impact of the COVID‐19 pandemic and related public health measures on mental health. In this emergent field, there has been little research into the role of risk perception on depressive symptoms and the contribution of health‐care resources to model risk perception and mental health. The aim of this paper is to describe the relationship between individual‐level perception of risk and depression, controlling for a set of confounders and for country‐level heterogeneity. A cross‐sectional and observational online survey was conducted using a non‐probability snowball sampling technique. We use data on 11,340 respondents, living in six European countries (Italy, Sweden, United Kingdom, France, Poland, Czech Republic) who completed survey questionnaires during the first months of the pandemic. We used a fixed‐effect approach, which included individual and macro‐level variables. The findings suggest that a high proportion of people suffering from depression and heightened risk perception is positively associated with reporting depressive symptoms, even if this relationship varies significantly between countries. Moreover, the association is moderated by contextual factors including health‐care expenditure as a percentage of Gross Domestic Product, hospital beds for acute care, and number of medical specialists per head of population. Investment in health care offers a concrete means of protecting the mental health of a population living under pandemic restrictions. [ABSTRACT FROM AUTHOR]

Rationale: Public health and preventive medicine (PHPM) has been recognized internationally as a physician specialty, but national parallels and differences exist between training contexts. This paper reviews PHPM training and employment in Canada, France, Italy, Japan, the United Kingdom, and the USA. Methods: Information gathered from relevant accreditation bodies and literature searches was used to create descriptive profiles of national training demographics and structure and a narrative outlining trends and challenges facing the specialty. Results: Notable similarities and differences exist between national contexts. Key themes were differences in training strategies and practice scope, specialty stakeholders, certification structure, and funding. Recognition challenges faced the specialty across all six countries. Other challenges included unclear competencies and training strategies and a need for PHPM specialists to highlight their role in combating population health threats. Additional differences existed between comparator countries on the structure of training, funding sources for training programs, availability of training posts, and linkages with other physician specialties. Conclusion: Highlighting these themes is a first step to fostering training collaborations between PHPM specialist physicians to augment transnational action on global public health challenges and also supports PHPM physician educators with innovative solutions from abroad that might address domestic specialty challenges. [ABSTRACT FROM AUTHOR]

Abstract: Tourism holds a significant share in the global carbon footprint. Transportation to the destination is recognized as the primary contributor, although its contribution can be less dominant in the context of short-haul travel. Previous studies do not provide a critical comparative analysis of how changes in travel behaviour, notably modal shift, affect the total carbon impacts from short-haul holidays; nor do they explore the relative contribution of the specific elements of the holiday product or account for global variations when measuring those contributions. This paper presents a carbon impact assessment case study of short-haul tourism to Southern France by British tourists. It applies an advanced, Life Cycle Assessment-based, method of evaluation, the hybrid DEFRA-LCA (Ecoinvent) approach, which is capable of appraising both the direct and the embodied ‘indirect’ greenhouse gas emissions. The principal finding supports the traditional view that transportation generates the largest carbon footprint and that the most significant carbon savings can be achieved by switching from air and car-based travel to train and coach. However, the study also indicates that if tourists stay at the destination longer, and travel to the destination by train or coach, the destination-based elements of the holiday can make a large carbon contribution and even outweigh the share of the transit element. The Life Cycle Assessment also shows that the ‘indirect’ greenhouse gas emissions from tourism in Southern France are significant, thus emphasizing the importance of their incorporation into future carbon impact appraisals. [Copyright &y& Elsevier]

The Devlin and Hoyle report, Committing to culture: arts funding in France and Britain, argues that the cultural policies of these two European neighbours have been steadily converging since the mid-1990s but that their social and economic contexts are now quite different (e.g. youth unemployment, GDP, disposable income). The paper addresses this convergence-within-divergence by comparing how policy discourses have conceptualised popular culture in the two countries. It investigates the hypothesis that, in both, an engagement with popular culture has in fact been an important driver of change, albeit at different times and with different taxonomies. And it asks what light this comparison might shed on cultural policy thinking in the twenty-first century. [ABSTRACT FROM AUTHOR]

This paper has contributed to confirming the link between education and health in developed countries. The analysis is based on 11 European Union countries. We estimate country-specific health functions, where the dependent variable is self-reported health status and the education attainment is one of the main inputs. All eight waves (1994–2001) of the European Community Household Panel are deployed. A random effects ordered probit is estimated in order to control, to a given extent, for unobserved heterogeneity. Explanatory variables are both time invariant (education attainment and gender) and time varying (gross wages, hours of work, age and living alone). Results confirm the positive impact of secondary education on health in most cases and tertiary education in all cases, even after controlling for other inputs in the health function and taking unobserved heterogeneity into account. Secondary education has an impact on health in all countries in the sample except for The Netherlands and UK. The effect does not differ between secondary and tertiary education in France, Ireland and Greece. The correlation between education and health is interpreted in different but complementary ways by diverse approaches and we may not disentangle the precise mechanism that connects health with education from our results. Anyway, it seems clear that better coordination is needed between education and health policies to effectively improve health literacy. Other relevant results from our study are that women register poorer health than men, age contributes to worsening health status and wages contribute positively to health. [ABSTRACT FROM AUTHOR]

It has become almost impossible to believe that Islam even existed in Western consciousness before September 11, 2001 (9/11). Those who have used that event to denigrate Islam, and those who criticise the Islamophobia inherent in such negative discourses, take the events and aftermath of that day as their starting point. In contrast to that imagination, and also in contrast to some literature that attempts to instantiate a critique of Orientalism, this paper shows that Western representations of Islam and Muslims were sophisticated, diverse and historically fluid before 9/11. It does so by analysing media sources from the United Kingdom and France, the two nation states whose governments have famously been at loggerheads over their post-9/11 analyses and foreign policies. The objective here is to capture the diversity of mainstream social discourses as they were reflected in the press. The purpose is not to analyse media influence or the relative importance of different discourses, so the sources are deliberately selective and small in number. The article is structured around the ‘paradigm shift’ from an exotic, sensual stereotype of Islam to a stereotype of Muslim fanaticism (prominent at the time of the Rushdie affair, for example), which prepared the ground for responses to 9/11, but it also identifies a media critique of these discourses, and of Islamophobia in society and in the media itself. [ABSTRACT FROM AUTHOR]

Clinical trials for the treatment of schizophrenia now often include cognitive assessments in addition to clinical ratings of symptoms. Recently, these trials have included cross-national assessments. It is not clear if translated psychological tests produce consistent results across different languages. This paper presents the results of a study of the comparability of the results of cognitive assessments in different English-speaking countries and a number of countries where tests were translated into other languages. Performance on tests of executive functioning, verbal and visuo-spatial learning and memory, language skills, psychomotor speed, and vigilance was compared across the first episode patients with schizophrenia (n=301) assessed in six different languages (English, French, Finnish, German, Hebrew, and Afrikaans), including two different countries where patients were assessed in English and other languages: Canada (French) and South Africa (Afrikaans). The variance in performance across the sites tested in English was as large as the variance between English and non-English speakers when all tests were considered. Performance differences across English and other languages were found only for executive functions, vigilance, and psychomotor speed, with executive functioning differences nonsignificant when education was considered. No differences were found between English and non-English speakers in Canada. These results suggest that the translation of tests of memory and verbal skills can lead to consistent results across translated versions of the tests. Differences between countries were greater than differences between languages, suggesting the need to consider representativeness of patient samples in terms of local educational attainment. In general, these data support the validity of cross-national neuropsychological assessments. [Copyright &y& Elsevier]