Tracheotomy as an emergency surgical procedure appeared and developed in ancient times1. The surgical techniques for its performance in our time have reached a level of perfection, and in adults it is one of the most frequent surgical procedures performed in emergency and intensive care units worldwide. Children's tracheotomy, on the other hand, presents far more serious challenges to the medical teams involved in its performance. A number of issues related to it - indications and contraindications, time for performance and protocols for decannulation and others are still subject to clarification. In the past years, the development of medical science, the introduction of vaccination programs, the use of many improved medical materials and technologies, as well as the achievements of neonatal and pediatric intensive care practice, have shifted the emphasis of pediatric tracheotomy from its emergency performance to solve an acute asphyxiation problem, to its implementation in children, representing a complex group of patients, with permanent dependence on tracheostomy and related medical technologies for long-term survival2. There are a growing number of children who have experienced complex therapy, for whom tracheostomy care and mechanical ventilation2, including at home environment, are part of their care. This, in turn, puts new questions on the agenda: who will take care for the child in the early postoperative period and during the days of hospitalization afterwards, who will train the people who will care for the tracheotomized child at home, what precautions should be applied in these children during their daily activities – eating, bathing, playing inside and outside the home and others.

: This study aims at exploring Turkish consumers’ behaviors toward purchasing green fashion. A mixed-methods approach was used in this study. Six experts from the main brands in the fashion industry in Türkiye were interviewed. A total of 268 questionnaires were collected from Turkish consumers, and their responses were analyzed. The theory of planned behavior (TPB) informed the theoretical framework of this study. The main components of the TPB were extended to include perceived consumer effectiveness. A thematic analysis was conducted to analyze and code the interviews. To test the hypotheses, structural equation modeling (SEM) was conducted. The findings show that the key factors of the TPB, i.e., attitudes (ATTs), subjective norms (SNs), and perceived behavioral control (PBC), as well as perceived consumer effectiveness, significantly impact the intentions of Turkish consumers to purchase sustainable fashion. However, the results highlight some inconsistencies, gaps, and barriers that discourage the purchase intentions of consumers, including a lack of information, misinformation, greenwashing, green skepticism, a lack of trust, and the high cost of sustainable fashion.

Indonesian crypto asset owners are expanding despite the government's ban. Crypto assets are too risky for Indonesian investors. This study uses the Theory of Planned Behavior and exogenous variables like financial literacy, trust, and government regulation to determine the causes of the intention to invest in crypto assets. Exogenous variables and behavioral intentions were moderated by gender. The study employs a quantitative approach, collecting data through a questionnaire survey of 149 adults over the age of 17 who have invested in non-crypto assets. SmartPLS was used to analyze research data. Financial literacy and trust, according to the study's findings, have an impact on the intention to invest in crypto assets. Gender can moderate the relationship between belief and behavioral intention. Women are more likely than men to invest in crypto assets due to the block chain system's security, transparency, and ease of use. This research is expected to help the government address the risks associated with investing in crypto assets by increasing transaction security with futures clearing and monitoring by using third parties as depositors. It also governs the laws governing crypto exchanges' liability to their investors.

Online food delivery service (OFDS) has been widely utilized during the new normal of COVID-19 pandemic especially in a developing country such as Indonesia. The purpose of this study was to determine factors influencing customer satisfaction & loyalty in OFDS during the new normal of COVID-19 pandemic in Indonesia by utilizing an extended Theory of Planned Behavior (TPB) approach. 253 respondents voluntarily participated and answered 65 questions. Structural equation modeling (SEM) indicated that Hedonic Motivation (HM) was found to have the highest effect on customer satisfaction, followed by Price (P), Information Quality (IQ), and Promotion (PRO). Interestingly, this study found out that usability factors such as Navigational Design (ND) and Perceived Ease of Use (PEOU) were not significant to customer satisfaction and loyalty in OFDS during the new normal of COVID-19. This study can be the theoretical foundation that could be very beneficial for OFDS investors, IT engineers, and even academicians. Finally, this study can be applied and extended to determine factors influencing customer satisfaction and loyalty in OFDS during the new normal of COVID-19 in other countries.

Recently, the awareness of energy conservation, carbon emission reduction, and environmental protection in Taiwan has begun to gradually improve, and bicycles have become an important vehicle for residents. In 2009, Kaohsiung began promoting public bicycle sharing. The number of users in that year amounted to 140,000. By 2015, the accumulated number of users reached nine million. This study adopted the Theory of Planned Behavior (TPB) to explore the factors influencing the behavioral intentions of public bicycle users, including the three dimensions of attitude, subjective norm, and perceived behavioral control, and probed into the relationship between the factors influencing the behavioral intentions of public bicycle users in Kaohsiung City and the dimensions. This study used a questionnaire to collect data and SPSS & AMOS for statistical analysis. The empirical results demonstrated that the most prominent factors influencing the behavioral intentions of public bicycle users in Kaohsiung City included perceived behavioral control, attitude, and subjective norm, in order. Among the influencing factors in the three dimensions, personal interests, main groups, and self-competence had a positive and significant correlation. Administrators should provide more incentives related to the three influencing factors to encourage the public in Kaohsiung City to use public bicycles more frequently as their short-distance travel mode, so as to achieve the purposes of saving energy, reducing carbon emissions, and protecting the urban environment.

Purpose: For businesses of all sizes, turnover is a significant issue that has a detrimental impact on organizational performance. This study investigates the variables influencing SME workers' intentions to leave their current employers. This study also examines the moderating effect of organizational commitment on the relationships between attitude, subjective norms, perceived behavioral control, and turnover intentions. Methodology: Six hypotheses were proposed regarding the connections between the initial TPB components and organizational commitment. Results: The PLS-SEM structural path analysis findings revealed that the three fundamental predictors of TPB significantly influence turnover intention, with perceived behavioral control most strongly influencing intention. Furthermore, the results revealed that organizational commitment moderated the relationship between TPB constructs and turnover intention. Practical Implications and Originality: This study used an extended TPB model to introduce fresh perspectives into the literature on SME workers' organizational commitment.

Psycho-social factors are key factors to the powerlessness of infant mothers who breastfeed. As the theory of planned behavior (TPB) is widely used to investigate the correlation between psycho-social factors and breastfeeding behavior, this study aims to examine the utility of TPB constructs to predict breastfeeding behavior and understand TPB-based psycho-social factors’ effectiveness on breastfeeding behavior. A narrative review consulting Web of Science, Scopus, Ebsco, PubMed, and PsycInfo in English and Chinese has been conducted, with the inclusion of twenty studies published between January 2000 and May 2022. It is reported that psycho-social factors based on TPB for breastfeeding such as affective attitude, instrumental attitude, subjective norm, perceived behavioral control (including self-efficacy), moral norm, breastfeeding knowledge, and self-identity can effectively explain the breastfeeding behavior. Future research should improve the theoretical model of TPB-based breastfeeding and implement more localized prediction and intervention studies on breastfeeding.

(1) Background: This study, drawing from the theoretical framework of the Theory of Planned Behavior (TPB), examines the structural relationship among attitudes, subjective norms, perceived behavioral control (PBC), and behavioral intention. The study focuses on investigating how the perceived risk associated with particulate matter moderates the relationships between 'attitudes and behavioral intention,' 'subjective norms and behavioral intention,' and 'PBC and behavioral intention' within the context of individuals engaged in outdoor sports; (2) Methods: The data were collected from outdoor sports gatherings facilitated through a popular South Korean sports meetup application. Confirmatory factor analysis was employed to establish the construct validity of the measurement scale, assess factor loadings, averaged variance extracted (AVE), and construct reliability (CR). We also ensured the reliability of the measurement scale through Cronbach's α analysis. To achieve our research objectives, we utilized structural equation modeling with maximum likelihood estimation to examine the positive relationships under investigation. Additionally, we performed moderation analysis using the statistical software Jamovi.; (3) Results: The findings demonstrate the significant impacts of attitudes, subjective norms, and PBC on behavioral intention and reveal that perceived risk acts as a moderator, influencing the relationship between PBC and behavioral intention.; (4) Conclusions: Therefore, the government will need to exert substantial efforts to mitigate particulate matter levels.

The rapid growth of the organic food market in Italy and in other developed countries has drawn the attention of researchers and practitioners. The diffusion of pro-environmental concerns and sustainable lifestyles among consumers are often cited as two of the main drivers of the increase in demand for organic food products. Consequently, unveiling the factors that influence consumers’ demand of, and preference for organic food is essential for all the actors involved in the supply chain. This paper presents the results of a research model which relates organic food purchase intention to consumers’ green consciousness, health motivations, food safety concerns, organic product knowledge, family and social context and perception of the intrinsic quality of food. A questionnaire, based on the Theory of Planned Behavior (TPB) and the extant literature on organic food choice, was developed and presented to a sample of 600 Italian consumers. Causal relations among variables were then tested using Structural Equation Modelling. The results suggest that, besides the existence of green consciousness, other variables may affect consumers’ preference for organic food: among these, specific and closely interlinked elements, such as food safety concerns and perceived quality heavily affected the intention to buy organic food products.

The present study investigates the decision-making process of investors on the Pakistan Stock Exchange with regard to portfolio construction, explicitly focusing on the incorporation of ESG concerns. The present study employed SmartPLS and structural equation modeling (SEM) to quantitatively assess data received from a sample of 393 out of 400 respondents. Based on the available data, investors participating in the Pakistan Stock Exchange are notably impacted by ESG aspects. The findings of this study hold significance for emerging economy firms, regulators, and investors, both in terms of theoretical and practical ramifications. The study's findings demonstrate a clear indication of investors' significant emphasis on ESG matters. Furthermore, it provides valuable insights for stakeholders who are involved in the ever-evolving realm of sustainable finance within developing countries

In this follow-up study, we aimed to assess the effectiveness of the “I do not smoke, I exercise”, anti-smoking preventive health education program. The program was based on the Theory of Planned Behavior supplemented with life-skills teaching and targeted at high school students. The intervention comprised ten one-hour online sessions, administered by physical education instructors. The study cohort comprised 222 students (109 boys, 113 girls) from 11 secondary schools, with an average age of 16.42 ± 1.36 years. Data collection involved pre- and post-intervention self-assessment questionnaires. The examined variables included attitudes towards smoking, intention to smoke, subjective norm, perceived behavioral control (PBC), knowledge about smoking, smoking behavior, exercise behavior, attitudes toward the program's implementation, and satisfaction with the program. Separate paired samples t-test revealed a significant improvement in students' knowledge about smoking, perceived behavioral control, and overall program satisfaction following the intervention. However, no significant changes were observed in the remaining variables. These findings suggest that the health education smoking prevention intervention incorporates techniques and strategies that influence the Perceived Behavioral Control variable, emphasizing students' strong interest in educationally theorized programs integrating technology into their design. Future studies should consider further examination of tobacco control strategies within the high school context.

Background: Strengthening adherence to self-care behaviors in patients with periodontal disease (PD) and reducing plaque index is crucial for improving PD treatment. We evaluated the effectiveness of a theory of planned behavior (TPB)-based health education intervention involving planning strategy on self-care behaviors in patients with PD. Methods: A randomized controlled trial was conducted; 158 and 139 patients comprised the experimental group (EG) and control group (CG), respectively. Both groups received a leaflet, and the EG also received a planning intervention, which was a brief one-on-one counseling session with a planning sheet. Data were collected using a self-administered questionnaire. Results: Between-group comparisons of TPB measures revealed significant differences in all domains when controlling for baseline covariates. The EG exhibited significantly higher levels of action and coping planning than the CG at 2-week follow-up (effect size (ES) = 5.54 and 5.57, respectively) and 6-week follow-up (ES = 5.66 and 5.66, respectively). Between-group differences in changes of brushing behaviors increased significantly. More frequent use of dental floss was observed in the EG than in the CG at 2-week and 6-week follow-ups (24.7% and 22.8%, respectively). Conclusions: The intervention involving planning strategy effectively promoted adherence to self-care behaviors in patients with PD.

The production and consumption of plastic bottled water have several negative environmental impacts worldwide. The EU countries have adopted strategies and programs to reduce single-use plastics, including PET bottles. A key aspect of designing effective policies is understanding consumer behaviour. To identify barriers and motivations for drinking tap and bottled water, we conducted a nationally representative questionnaire survey among 3,411 respondents in the Czech Republic in 2022. The results reveal that people aged 18-34 appear to be moderate consumers of bottled water and very frequent consumers of tap water. Bottled water consumption tends to be less frequent among people with higher education, while tap water consumption is less frequent among people with lower incomes. The most important factors that explain the frequency of drinking bottled and tap water are taste perception, health concerns and habit. Health concerns about tap water and the unpleasant taste of tap water influence higher consumption of bottled water and vice versa. People with a strong habit of drinking tap water are less likely to consume bottled water. The constructs from the Theory of Planned Behaviour were statistically significant. The results can guide decision-makers in promoting tap water to consumers. To encourage tap water drinking, we suggest measures to increase the availability of tap water in public places in conjunction with campaigns targeting taste and health perception and the habit of drinking tap water.

This study examined the relationships between attitude, subjective norms, perceived behavioral control, and behavioral intention through the perceived value of Pilates participants. The participants of this study were 301 Pilates students using Pilates studios located in Busan, Ulsan, and Gyeongbuk Province. The participants were selected by convenient sampling, a non-probability sampling method. The collected data were analyzed using descriptive analysis, reliability analysis, correlation analysis, confirmatory factor analysis, and structural equation modeling analysis using SPSS 22.0 and AMOS 24.0. The results can be summarized as follows. First, among the three subfactors of perceived value, functional and social values had a positive effect on attitude. Second, attitude, subjective norms, and perceived behavioral control, which are three main components of the Theory of Planned Behavior, had a positive effect on the behavioral intention for Pilates. These results suggest that Pilates instructors require meticulous planning and efforts to develop an environment for promoting spontaneous interest and participation to attract students and engage their attention and interest in the field.

Green spaces in residential community is important, yet understudied, feature as an urban ecological system. While large urban parks and remnant wildlands in urban areas tend to receive a public attention from conservation and management perspectives, less is known for the importance of spatial and ecological characteristics of the community-scale landscapes. This study investigates natural elements in four planned communities in Phoenix metropolitan area, Arizona, two of which represent conventional type of neighborhood and the other two exemplify the community development with a proclaimed vision of sustainability. These distinct type of communities, which capture variations in age, location, open space type, and a cross-section of housing density, are compared with regard to landscape connectivity as a means of gauging ecological condition for community sustainability. Using Geographical Information System and landscape connectivity indices, each community’s landscape features including size, physical connectedness and ecological potential were examined. Furthermore, a questionnaire survey was performed to examine the perceptional differences between the two types of community residents. The findings demonstrate that the green spaces in conventional communities are more physically connected than the counterparts, but the naturalness and ecological quality manifested by the amount of the land that may serve as potential urban desert habitats were higher in the sustainable communities. The results of the survey indicated that the respondents inhabiting in sustainable communities possess a higher level of satisfaction than the people in conventional type of community due mainly to the amount of, easy access to, and perceived ecological values of, green spaces in their neighborhoods and surrounding areas. The study concludes that careful community design with ecological consideration can help create sustainable communities which can benefit both site-scale ecosystems and perceived human well-being.

Speeding is a significant global issue, with disparities in speed outcome and speed research between low- and middle-income countries (LMICs) and high-income countries (HICs). This study aims to address speed research gaps by examining the prevalence of self-reported speeding and factors influencing drivers' speeding behavior (SB) using the Theory of Planned Behavior (TPB). An online survey involving 387 anonymous drivers was conducted in Yaoundé. Results showed that all drivers reported exceeding speed limits, with 81% exceeding by 5km/h, 12% by 10km/h, and 7% by more than 10km/h in urban areas. On highways, 54% reported exceeded the limit by more than 10km/h. Age, driver's license, and gender showed significant associations with speed limits non-compliance. The study results suggests that the TPB can be useful in assessing speeding behavior, as the inclusion of TPB variables led to a more than 50% proportionate increase in SB variance. Structural equation modeling revealed attitude towards speeding as the strongest predictor of speeding intention (SI), along with certain demographics indirectly influencing SB through SI. Perceived behavioral control (PBC) and SI directly influenced SB. These findings emphasize the potential of interventions targeting attitude, intentions, and perceived behavioral control to modify speeding behavior and improve road safety.

Abstract: This paper aimed to investigate the entrepreneurial intentions of female students in Saudi Arabia, utilizing the Theory of Planned Behavior (TPB) as the theoretical framework. Employing a quantitative research methodology, data was collected through a questionnaire administered to female students at Princess Nourah University. The results revealed a positive inclination towards entrepreneurship, with over 64% expressing a desire to pursue entrepreneurial ventures in the future. This optimistic trend among female students suggests a potential pool of future entrepreneurs. Interestingly, a small percentage (3.21%) categorically rejected entrepreneurship as a career option, indicating a relatively low level of disinterest in entrepreneurial pursuits. However, many respondents (32%) remained undecided, presenting a valuable opportunity for mentorship and support to cultivate their entrepreneurial intentions. These findings underscore the significance of providing guidance and education to encourage entrepreneurship among female students. The TPB analysis highlighted that attitudes and perceived behavioral control towards entrepreneurship were favorable among female students, indicating a positive mindset and belief in their ability to embark on entrepreneurial endeavors. However, societal norms still exert a negative influence on some student’s entrepreneurial intentions, suggesting a need to address cultural barriers that might hinder female students' willingness to pursue entrepreneurship. The study suggests enhancing female entrepreneurship through societal encouragement and support from personal networks. It highlights the importance of fostering entrepreneurial aspirations in female students. Crucially, the study underscores the role of universities in cultivating entrepreneurial intentions by proposing the implementation of entrepreneurship-focused curricula and the creation of university-based training units or incubators.

Arguments of Mises and Hayek, who opposed the planned economy (PE), are used in the paper as a starting point for establishing the objective area of effective application of the PE. The abstract model of PE, based on the definitions of Mises and Hayek, leads to the conclusion that for the effective use of PE, it must be a part of mixed economy and it must produce a limited amount of essential goods of irreducible demand. These goods must be distributed among all members of society free of charge, evenly, without competition. Examples of a mixed economy are given that meet this requirement. Calculations of the personal benefit in the transition to a mixed model of the economy have been carried out. The positive and negative qualities of the planned and market methods of organization are considered. Mixed economy model combines these qualities in optimal construction. An analytical framework has been introduced for the construction of product characterization curves. Such curves provide criteria for determining the efficiency of manufacturing of this product in a planned economy. The general economic prerequisites for the usability of the PE are clarified. The applicability and advantages of the PE for the organization of the universal basic income (UBI) system are demonstrated. The possibility of using PE to solve the problem of guaranteed employment is mentioned.

The adoption of Industry 4.0 technology is essential for achieving energy efficiency, a critical aspect of Sustainable Development Goal (SDG) no. 12 aimed at addressing climate change. Understanding the impact of Sustainable Attitudes, Digital Trust, and Uncertainty Avoidance is crucial in the decision-making process regarding the implementation of Industry 4.0 technology. The slow adoption of Industry 4.0 technology is attributed to non-technological factors or people, while the need to achieve energy efficiency targets necessitates examining the influence of Sustainable Attitudes and Digital Trust as supporting variables, along with Uncertainty Avoidance, on technology adoption. The study employed a quantitative explanatory research approach to investigate the relationships and impacts of variables. It centered on employees of Schneider Electric Indonesia, a global Industry 4.0 technology provider, with a sample of 189 employees selected through random sampling, incorporating a 5% margin error from Slovin formula. The analysis involved the use of Structural Equation Modeling (SEM) with AMOS version 26. Industry 4.0 technology is essential for fostering innovation and business expansion, leading to a sustainable environment by offering principles, guidance, and energy-efficient technologies for companies. The involvement of Sustainable Attitude, moderated by Uncertainty Avoidance, is vital in reaching energy efficiency goals through Industry 4.0 implementation.

The accessibility of public transportation is also known as the last mile problem, and it is one of the main obstacles that affect travelers to choose public transport. Although autonomous vehicles (AVs) have made much progress, they have not been officially put into commercial use. This paper adopts stated preference experiments to explore the impact of shared AVs on train trips’ last-mile travel behavior and takes Wuhan as an example for case analysis. First of all, this paper establishes a structural equation model (SEM) based on the theory of planned behavior to explore the latent psychological variables, including travelers’ attitudes (ATTs), subjective norms (SNs), perceived behavior control (PBC), and behavioral intention to use (BIU) toward AVs. These latent psychological variables are incorporated into the latent class (LC) logit model to establish a hybrid model to study the factors and degree of influence on the travel mode choice for the last mile of train trips. The results show that travelers have preference heterogeneity for the travel mode choice of the last mile of train trips. Through the analysis of LCs, education, career, and income significantly impact the classification of LCs. The latent psychological variables towards AVs have a significant impact on the travel behavior of respondents, but the impacts vary among different segments. Elastic analysis results illustrate that a 1% increase in the travel cost for shared AV in segment 1 leads to a 7.598% decrease in the choice probability of shared AV. Respondents from different segments vary significantly in their willingness to pay, and the value of travel time for high-income groups is relatively higher.

Financial Payment has evolved into mobile payment for easy access and convenience. Despite the benefits of mobile payment, the adoption rate is unsatisfactory worldwide. Therefore, understanding the customer's adoption intention factors is essential for both researchers and practitioners. This study examines mobile payment intention and actual use by adapting the integrated framework, which combines the Mobile Technology Acceptance Model and the Theory of Planned Behaviour with additional new constructs found to be related. The new model consists of 12 variables moderated by the individual's experience and is examined via a structured PLS equation mixed-mode methodology. Knowing mobile payment influence will shape the industry strategic decision and socially contribute to transforming society into a cashless society. This paper provides an opportunity to prove the relationship between technology variables and human behaviour concerning mobile payment adoption. In contrast, this study novelty adopted an integrated model that combines MTAM with the TPB.

This study analyzed the relationship between contextual factors, personal factors, and entrepreneurial intentions of business area students from the perspective of the Theory of Planned Behavior. Data were collected using a questionnaire applied to 229 entering the courses, and the analysis was carried out using Structural Equation Modeling (PLS-SEM). The results demonstrated that: a) H1a: education had a positive influence on the choice of an entrepreneurial career, and b) H1b: business-friendly environments reinforce this choice, influenced by broader social and cultural support. This demonstrates that environmental, factors enhance cognitive factors and the intention to undertake. The results also showed that: c) H2c: the perception of abilities to start a business, and d) H2a: the favorable evaluation of choosing an entrepreneurial career, are determining elements of entrepreneurial intentions in the studied context. However, the negative relationship between e) H1c: government incentives and the ability to start a business, and f) H2b: the influence of social and environmental on entrepreneurial intentions requires attention from universities and governments in promoting environments conducive to entrepreneurship, the choice of an entrepreneurial career and the decision of young people to get involved in sustainable business projects. In conclusion, environmental and psychological aspects have positive and significant effects on the entrepreneurial career intentions of higher education students, opening space for governments and universities to promote student entrepreneurship with the sustainability business as beliefs and values.

Nowadays, there is an increasing concern about environmental challenges ranging from emissions to overconsumption. Most of the environmental problems today are direct consequences of human consumption. Understanding the factors that affect consumer purchasing decisions is critical to developing demand for and commitment to sustainable consumption. In this regard, this study aims to explore the environmentally sustainable consumption behavior of Ethiopian consumers by using an extended model of the theory of planned behavior. Data were collected using a self-administered questionnaire having open and closed-ended questions. A total of 523 Ethiopian consumers were selected using convenience sampling technique. Structural equation modeling with AMOS V.26.0. was applied for data analysis. The findings show that Ethiopian consumers have very low awareness about the impact of their clothing consumption and disposal. Their consideration of sustainability attributes during purchasing decisions is also low. The structural equation model analysis showed that all variables had a positive and significant effect on the dependent variables at p<0.05, except the effect of personal norms on an environmentally responsible purchasing intention. These results provide additional evidence on the role of environmental labels in purchasing sustainable apparel products. The results of the study allow a better understanding of the factors determining sustainable consumption behavior and suggest practical solutions to their producers. As theory-building activities, with implications for the conceptualization of sustainable consumption behavior are sparse in the literature, this work has also been able to detect sustainable consumption behavior trends and practices by using the availability of a sustainable apparel product and consumers price perceptions of environmentally responsible apparel as a mediating effect of intention and behavior in developing countries, particularly Ethiopia.

The purposes of this study are based upon the theory of planned behavior (TPB) to examine the impact of past experiences of contract farming on selecting a specific type of contract farming in the future and then compare different psychological factors in the TPB for different potential contract farmer statuses. These statuses include homesteaders, farmers from cooperative farms, farmers from production and sales teams, professional farmers, and brokers. The impact of factors in the TPB for a particular contract type on potential contract farmers is further to compute. To this end, data are collected in three major sweet potato production areas in Taiwan. The results show that the farmers’ past contract farming experience does not influence the selection of the contract in the future. As for the selection of contract type, strengthening the perception and motivating the behavioral intention of contract farming for cooperative farms will increase the probability of selecting an unclassified sweet potato size contract. On the other hand, enhancing perceived behavioral control factors and behavioral intention factors for professional farmers and brokers is apt to have a relatively high probability of selecting those types involving the highest amount or the best price to obtain the best deal.

Background: This study examines the relationship between energy usage, health issues, and pro-environmental behavior (PEB) in Kyrgyzstan, amidst the country's commitment to transition from coal-based energy to renewable sources in line with the Paris Agreement. The purpose is to investigate citizens' attitudes towards PEB and their intentions to engage in environmentally friendly actions, focusing on gas, electricity, and coal. Methods: Drawing upon the Theory of Planned Behavior (TPB) framework, a survey was conducted among 1,455 respondents to explore attitudes towards PEB and energy sources' impact on health issues. Results: Decarbonization efforts in Kyrgyzstan and Central Asia are in their early stages, with coal remaining a primary energy source. The study emphasizes the importance of governmental policies and citizen action in achieving decarbonization goals. Rising electricity costs outweigh the increase in indirect energy costs for food, posing challenges for households in adapting to changing energy dynamics. Conclusions: Targeted interventions and communication strategies are crucial to promote pro-environmental behavior and facilitate the transition to sustainable energy sources. Understanding the relationships between health concerns, air pollution awareness, PEB, and energy source choices can inform policymakers and organizations in their efforts to ensure a sustainable and healthy future for Kyrgyzstan and other Central Asian countries.