Place Is Power: Investing in Communities as a Systemic Leverage Point to Reduce Breast Cancer Disparities by Race

Racial disparities in breast cancer present a vexing and complex challenge for public health. A diverse array of factors contributes to disparities in breast cancer incidence and outcomes, and, thus far, efforts to improve racial equity have yielded mixed results. Systems theory offers a model that is well-suited to addressing complex issues. In particular, the concept of a systemic leverage point offers a clue that may assist researchers, policymakers, and interventionists in formulating innovative and comprehensive approaches to eliminating racial disparities in breast cancer. Naming systemic racism as a fundamental cause of disparities, we use systems theory to identify residential segregation as a key leverage point and a driver of racial inequities across the social, economic, and environmental determinants of health. We call on researchers, policymakers, and interventionists to use a systems-informed, community-based participatory approach, aimed at harnessing the power of place, to engage directly with community stakeholders in coordinating efforts to prevent breast cancer, and work toward eliminating disparities in communities of color.

How can a Climate-Neutral Building Look Like?

The climate crisis is urging us to act fast. Buildings are a key leverage point to reduce greenhouse gas (GHG) emissions, but the embodied emissions related with their construction remain often the hidden challenge of any ambitious policy. Considering that a complete material substitution is not possible, we explore in this paper a material GHG compensation where fast-growing bio-based insulation materials are used to compensate building elements that necessarily release GHG. Looking for analogies with other human activities, different material diets as well as different building typologies are modelled to assess the consequences in term of bio-based insulation requirement to reach climate-neutrality. The material diets are defined according to the gradual use of herbaceous materials, from the insulation up to the structural level: omnivorous, vegetarian and vegan. Our results show the relationship in terms of volume between the climate intensive materials and the climate-negative ones needed to neutralize the overall building GHG emissions. Moreover, they suggest how climate-neutral building can look like and that it is possible to have climate-neutral buildings with wall thickness within the range of current construction practices.

The Eye of the Beholder: Applying Visual Analysis in an Historical Study of Lynxes’ Representations in the Bavarian Forest Region

Representation is never neutral, especially when it comes to agents devoid of their own voice. As such, wildlife has often been employed as a sort of leverage point, an emotional trigger aimed to deliver a certain message (see e.g., Cronin, 2011). The establishment of the Bavarian Forest National Park (BFNP) coincided with the return of large carnivores to the region, in particular, lynxes. Lynxes are endemic to the area; however, as in many other parts of Europe, the last free-roaming individuals were eradicated in the middle of the nineteenth century. In the past few decades, slowly, lynxes were both reintroduced or came back on their own volition, and that has created a considerable response from the population. There has been extensive coverage of the return of these animals both in local and regional media. Lynxes are also kept in the enclosures of the BFNP to afford visitors an unmediated look at the native charismatic megafauna. In this chapter, I analyse how lynxes have been represented in the local media, the newspaper Grafenauer Anzeiger, and discuss merits and drawbacks of visual analysis research method in understanding the change in attitudes towards these animals’ presence in the BFNP area. For that, I look at the archival and contemporary publications of the newspaper. It has been said that the precondition for people’s understanding of reality lays in fantasy, in imagining things to be true (Bergman, 2013). A visual analysis method can help uncover stories that do not necessarily come to the fore in text, and that, in turn, makes it possible to have a fuller grasp of one’s research object. Andrew Isenberg once said that “[our] representations of wildlife are inescapably expressions of human values” (Isenberg, 2002), and while texts are important in their own regard, visual analysis gives an opportunity to look behind a textual narrative to discern whether what we see of the wildlife corresponds to what we understand.

Systemic Perspectives on National Infrastructure for a Sustainable, Resilient Net Zero Future

All aspects of Modern life are infrastructure-enabled. National infrastructure (NI) simultaneously: supports the realisation of societally beneficial outcomes; and determines the level of GHG emissions; air, water, noise pollution; production of solid waste and sewage. Therefore, all sustainability and resilience challenges are interdependent emergent properties arising directly or indirectly from National Infrastructure. NI is a systemically, societally, economically, globally significant leverage point. The systemic transformation of NI into a net zero enabling, resilience enhancing, sustainability supporting system is urgently needed to catalyse the speed, scale and breadth of synergistic action needed to achieve Net zero and tackle other sustainability and resilience challenges. Systemic perspectives on, and systemic characterisations of, NI; its societal purpose; and the interdependent mechanisms that enable NI to fulfil its purpose are needed to support the required systemic transformation. This paper provides these.

An ISM approach for identifying and analyzing the complexity of beef cattle farming problems in Central Java

The complexity of the problems in the beef cattle farming system in Central Java is challenging. Identification and mapping of the problems are an important part of the process to determine the policy strategy. The research objectives were to identify and to map the problem structure in beef cattle farming system in Central Java. Interpretive Structural Modeling (ISM) was employed to analyze the relationship between problems in beef cattle farming system. Data were collected through literature review and in-depth interviews with several stakeholders which consisting of academics, practitioners, and local governments. The results showed that the problems of beef cattle farming in Central Java were related to the availability of feed, farmers socio-economic conditions, and the production and reproduction of the cattle. Problems related to the animal feed availability is a leverage point in solving cattle problems in Central Java. The feed strengthening strategy is expected being priority in the context of developing beef cattle farms in Central Java.

How biomarker patterns can be utilized to identify individuals with a high disease burden: a bioinformatics approach towards predictive, preventive, and personalized (3P) medicine

Prevalences of non-communicable diseases such as depression and a range of somatic diseases are continuously increasing requiring simple and inexpensive ways to identify high-risk individuals to target with predictive and preventive approaches. Using k-mean cluster analytics, in study 1, we identified biochemical clusters (based on C-reactive protein, interleukin-6, fibrinogen, cortisol, and creatinine) and examined their link to diseases. Analyses were conducted in a US American sample (from the Midlife in the US study, N = 1234) and validated in a Japanese sample (from the Midlife in Japan study, N = 378). In study 2, we investigated the link of the biochemical clusters from study 1 to childhood maltreatment (CM). The three identified biochemical clusters included one cluster (with high inflammatory signaling and low cortisol and creatinine concentrations) indicating the highest disease burden. This high-risk cluster also reported the highest CM exposure. The current study demonstrates how biomarkers can be utilized to identify individuals with a high disease burden and thus, may help to target these high-risk individuals with tailored prevention/intervention, towards personalized medicine. Furthermore, our findings raise the question whether the found biochemical clusters have predictive character, as a tool to identify high-risk individuals enabling targeted prevention. The finding that CM was mostly prevalent in the high-risk cluster provides first hints that the clusters could indeed have predictive character and highlight CM as a central disease susceptibility factor and possibly as a leverage point for disease prevention/intervention.

What Drives Climate Action in Canada’s Provincial North? Exploring the Role of Connectedness to Nature, Climate Worry, and Talking with Friends and Family

Despite widespread calls to action from the scientific community and beyond, a concerning climate action gap exists. This paper aims to enhance our understanding of the role of connectedness to nature in promoting individual-level climate action in a unique setting where climate research and action are lacking: Canada’s Provincial North. To begin to understand possible pathways, we also examined whether climate worry and talking about climate change with family and friends mediate the relationship between connectedness to nature and climate action. We used data collected via postal surveys in two Provincial North communities, Thunder Bay (Ontario), and Prince George (British Columbia) (n = 628). Results show that connectedness to nature has a direct positive association with individual-level climate action, controlling for gender and education. Results of parallel mediation analyses further show that connectedness to nature is indirectly associated with individual-level climate action, mediated by both climate worry and talking about climate change with family and friends. Finally, results suggest that climate worry and talking about climate change with family and friends serially mediate the relationship between connectedness to nature and with individual-level climate action. These findings are relevant for climate change engagement and action, especially across Canada’s Provincial North, but also in similar settings characterized by marginalization, heightened vulnerability to climate change, urban islands within vast rural and remote landscapes, and economies and social identities tied to resource extraction. Drawing on these findings, we argue that cultivating stronger connections with nature in the places where people live, learn, work, and play is an important and currently underutilized leverage point for promoting individual-level climate action. This study therefore adds to the current and increasingly relevant calls for (re-)connecting with nature that have been made by others across a range of disciplinary and sectoral divides.

Pro-environmental habits: An underexplored research agenda in sustainability science

Habits are the fundamental basis for many of our daily actions and can be powerful barriers to behavioural change. Still, habits are not included in most narratives, theories, and interventions applied to sustainable behaviour. One reason societies struggle to reach policy goals and people fail to change towards more pro-environmental lifestyles might be that many behaviours are now bound by strong habits that override knowledge and intentions to act. In this perspective article, we provide three arguments for why pro-environmental habits are a needed research agenda in sustainability science: (1) habit theory highlights how behaviour is heavily reliant on automatic processes, (2) the environmental context sets boundary conditions for behaviour, shape habits, and cues action responses, and (3) our habits and past behaviour shape our values and self-identity. These arguments highlight the transformative potential of looking at sustainable behaviours through a habit lens. We believe a research agenda on pro-environmental habits could generate a more holistic understanding of sustainable behaviours and complement today’s dominating approaches which emphasize reasoned decisions and intrinsic motivations such as values, norms, and intentions to understand and predict pro-environmental behaviour. We highlight evident knowledge gaps and practical benefits of considering habit theory to promote pro-environmental behaviours, and how habit architecture could be utilized as a strong leverage point when designing, modifying, and building urban environments.