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A large body of research has shown that terrorism enhances fears and undermines perceived safety in a high proportion of both directly exposed individuals and individuals without any form of direct exposure (i.e. no geographical proximity to an attack). Some studies have further suggested that fear of terrorism may adversely affect health in those without direct exposure and that this may constitute an important public health burden because of the number who are indirectly exposed. Limited studies have investigated threat and safety perception after workplace terrorism and the possible consequences for employee health. To explore whether perceived safety and threat in employees whose workplace was subjected to a terrorist attack are associated with subsequent sick-leave. A longitudinal questionnaire survey on governmental employees' perceived safety and threat at work one (T1) and two (T2) years after the 2011 terrorist attack on the Norwegian ministries was linked to registry data on doctor-certified sick-leave for two 9-month periods following T1 and T2 (N = 1703). There was fairly strong evidence (0.004 < p < 0.034) that higher perceived safety was associated with a close to 30% reduction in sick-leave in fully adjusted models which included terror exposure and symptom-based PTSD. There was inconclusive evidence that lower perceived threat was associated with reduced sick-leave in the full models. Reduced perceived safety in employees following workplace terrorism may have adverse health consequences of public health significance given how prevalent this perception seems to be. The study supports that post-terrorism response plans should include strategies on how to address the potentially large number of individuals suffering ill health after terror even if they were not directly exposed and do not meet criteria for PTSD.

Purpose: This study analyzes work safety perceptions among workers and safety experts in the construction industry. Furthermore, we evaluate whether experiential learning (i.e., labor experience) and knowledge-enhancing practices, that we link to safety training, explain the differences in work safety perceptions of workers and safety experts by triggering different types of overconfidence biases. Design/methodology/approach: The proposed hypothesis are tested by applying ordered probit models on a unique dataset comprising information for 558 employees and 215 safety experts working in the Spanish construction sector. Findings: The results reveal that previous labor market experience has a significantly negative effect on perceived work safety, that is, risk awareness decreases with respect to labor experience. However, the findings indicate that differences in perceived work safety between workers and safety experts are not explained by previous labor experience. Furthermore, the results suggest that higher levels of safety training, which we link to the acquisition of codified knowledge, negatively impacts workers’ safety perceptions, while this effect turns positive among safety experts. This result suggests that safety experts’ perceived work safety is affected by overconfidence that results from their greater safety-specific training (over-precision bias). Originality/value: Work safety constitutes a relevant key performance indicator. The proposed analysis of the role of labor experience and safety training on perceived work safety in different types of employees contributes to better understand how organizations can improve the management of their workforce by triggering specific actions, such as the design of customized training programs, that may help in reducing the safety disconnect between employees, in terms of perceived work safety.

Prolonged physiological stress responses form an important risk factor for disease. According to neurobiological and evolution-theoretical insights the stress response is a default response that is always “on” but inhibited by the prefrontal cortex when safety is perceived. Based on these insights the Generalized Unsafety Theory of Stress (GUTS) states that prolonged stress responses are due to generalized and largely unconsciously perceived unsafety rather than stressors. This novel perspective necessitates a reconstruction of current stress theory, which we address in this paper. We discuss a variety of very common situations without stressors but with prolonged stress responses, that are not, or not likely to be caused by stressors, including loneliness, low social status, adult life after prenatal or early life adversity, lack of a natural environment, and less fit bodily states such as obesity or fatigue. We argue that in these situations the default stress response may be chronically disinhibited due to unconsciously perceived generalized unsafety. Also, in chronic stress situations such as work stress, the prolonged stress response may be mainly caused by perceived unsafety in stressor-free contexts. Thus, GUTS identifies and explains far more stress-related physiological activity that is responsible for disease and mortality than current stress theories.

Accessibility is commonly assessed using indicators calculated from spatial data. Comparatively perceived accessibility cannot be adequately reflected by these calculated measures because it involves the perception to participate in spatially dispersed opportunities. This highlights the need to understand and consider perceived accessibility for planning and evaluation of transport systems from a complementary perspective. Therefore, this study aims to offer a systematic review concerning the interpretations of perceived accessibility in transport, its concept, major social drivers, barriers, evaluation methods and key influencing factors. This review also highlights the importance of perceived safety and service quality in public transport and their relationship with perceived accessibility in daily travel. The paper argues that perceived accessibility with due consideration of perceived safety and service quality will contribute to the development from mobility-based to accessibility-based planning.

•Participants generally expressed acceptance for vaccines but described hesitant individuals.•Alcohol, prayer and traditional remedies were alternatives reported in the community.•Adverse effects combined with limited information were likely fostering vaccine hesitancy.•Limited understanding and misconceptions about vaccines were common.•Discussants supported delivery strategies that improved education and access. Heterogeneous coverage threatens to compromise the effectiveness of immunization programs in Zambia. Demand-creation initiatives are needed to address this; however, there is incomplete understanding of why vaccine coverage is suboptimal. We investigated overarching perceptions on vaccine acceptability, hesitancy, and accessibility at three informal settlements in Lusaka, Zambia. Nested within a cholera vaccination uptake study, we sought to understand overarching perceptions on vaccines’ hesitancy in three informal settlements in Lusaka, Zambia. We conducted 48 focus group discussions with a convenience sample of laypersons, lay healthcare workers, neighbourhood health committee members and vaccinators. Both laypersons and community-based health actors reported high vaccine acceptance though several sources of hesitancy were reported. Traditional remedies, alcohol use and religious beliefs emerged as drivers of vaccine hesitancy, likely reinforced by a background of distrust towards western medicine. Also mentioned were previous adverse events, fear of injections and low perceived need for immunization. Limited understanding of how vaccines work and overlapping local terms for vaccine and other medical concepts created confusion and inaccurate views and expectations. Some reported refusing injections to avoid pain and perceived risk of infection. Discussants emphasised the importance of education and preferred mobile immunization campaigns, with weekend to reach those with poor access and delivered by a combination of professional and volunteer workers. Vaccine hesitancy in Zambia is underpinned by many factors including personal experiences with vaccinations, alternative belief models, limited knowledge, deep misunderstanding about how vaccines work, and barriers to access. To overcome these, community-driven models that incorporate factual communication by professionals and operate outside of traditional hours, may help. Better research to understand community preferences for vaccine uptake could inform interventions to improve immunization coverage in Zambia.

Background Despite the well-known health benefits of regular physical activity, inactivity remains a major public health concern. Understanding how the built environment can encourage physical activity is therefore important to inform current policy strategies for creating activity-friendly neighborhoods. This study aimed to examine whether neighborhood walkability and greenness were associated with physical activity, and if perceived safety moderated any such relations, among adult citizens in Norway. Methods This cross-sectional study included a sample of 5670 adults aged  ≥  18 years living in urban areas of Stavanger. Information on physical activity (PA) levels, perceived neighborhood safety, and socio-demography were obtained from questionnaire data collected in the Norwegian county public health survey of Rogaland. Geographic information systems were utilized to compute walkability, vegetation scores and proportion of green space within postcode areas, which subsequently were linked to the survey data. Hierarchical linear regression models were fitted to examine associations between walkability, amount of vegetation, proportion of green space and weekly minutes of PA, and to estimate main and interaction effects of perceived safety on these relationships. Results The adults were on average physically active 148.3 min/week. The amount of green vegetation in the neighborhood was positively related to physical activity when adjusting for potential confounders. No such relations were observed for proportion of green space and walkability. Perceived neighborhood safety was significantly related to increased levels of physical activity, but no moderating role of perceived safety was observed. Conclusion Although our findings should be interpreted with caution, the results point towards the importance of policymakers, planners, and public health professionals to advocate for safe environments with green vegetation for physical activity in the neighborhood.

Ride-sourcing services are increasingly popular since they were first introduced in the last decade. Particularly in developing countries where public transport systems have received less investment, ride-sourcing services are considered to be an informal form of public transport and have become an indispensable part of the transport systems. This study aims to construct and validate an integrated framework to explore the direct and indirect relationships between four constructs (perceived service quality, perceived safety, involvement and satisfaction) and passengers’ loyalty in the context of ride-sourcing services. By using data from a survey conducted in Vietnam from November to December 2018, partial least squares-structural equation modelling was applied to analyse the conceptualised model. The findings show that perceived service quality, involvement and satisfaction are found to be good predictors of passengers’ loyalty to ride-sourcing services while the direct relationship between perceived safety and loyalty has not been confirmed. However, involvement is found to fully mediate the causal link from perceived safety to loyalty. The research results should help ride-sourcing firms increase their financial performance and assist authorities to develop policies and regulations for ensuring passengers’ safety.

This research focuses on evaluating the relationship between urban design and perceived safety, using the pacification of the green axis of Consell de Cent in Barcelona as a case study. The main objective is to determine whether the transformation of public space through urban interventions influences residents’ and visitor’s feelings of safety. Building upon the theoretical foundations laid by leading figures in urban sociological research, such as Jane Jacobs and Jan Gehl, a comprehensive review of the literature on urban design and perceived safety was conducted. Key elements that could influence this perception were identified. Subsequently, an empirical study was conducted through the application of qualitative and quantitative surveys to residents of the area. The results obtained demonstrate that, while urban design plays a significant role in perceived safety, this effect is mediated by social and subjective factors. The research concludes that it is necessary to delve deeper into the study of the interactions between the physical environment and individuals’ subjective experiences in order to design safer and more livable urban spaces. The findings of this thesis open up new perspectives for future research on the relationship between urban design and public safety.

The current study sought to determine whether public perceptions of other vaccines and diseases than COVID-19 have been impacted by the COVID-19 pandemic. We longitudinally examined whether there had been a change from before the COVID-19 pandemic to during the pandemic in: (a) influenza vaccination behaviour and intentions; (b) the perceived benefit of childhood vaccines and influenza vaccines; (c) the perceived safety of childhood vaccines and influenza vaccines; (d) the perceived severity of measles and influenza; and (e) trust in healthcare professionals in two samples of Finnish adults ( N  = 205 in Study 1 and N  = 197 in Study 2). The findings showed that during the pandemic, more people than before had received or wanted to receive the influenza vaccine. The respondents also believed that influenza was more dangerous during the pandemic and that vaccinations were safer and more beneficial. On the other hand, for childhood vaccines only perceived safety increased. Finally, in one of the studies, people had more confidence in medical professionals during the pandemic than they had before. Together, these findings imply a spillover of the COVID-19 pandemic on how people view other vaccines and illnesses.

Safety is a fundamental prerequisite that must be addressed before any interaction of robots with humans. Safety has been generally understood and studied as the physical safety of robots in human–robot interaction, whereas how humans perceive these robots has received less attention. Physical safety is a necessary condition for safe human–robot interaction. However, it is not a sufficient condition. A robot that is safe by hardware and software design can still be perceived as unsafe. This article focuses on perceived safety in human–robot interaction. We identified six factors that are closely related to perceived safety based on the literature and the insights obtained from our user studies. The identified factors are the context of robot use, comfort, experience and familiarity with robots, trust, the sense of control over the interaction, and transparent and predictable robot actions. We then made a literature review to identify the robot-related factors that influence perceived safety. Based the literature, we propose a taxonomy which includes human-related and robot-related factors. These factors can help researchers to quantify perceived safety of humans during their interactions with robots. The quantification of perceived safety can yield computational models that would allow mitigating psychological harm.