COVID-19 vaccination in people living with HIV and AIDS (PLWHA) in China: A cross-sectional study.

COVID-19 appears to put people living with HIV and AIDS (PLWHA) at a higher risk of catastrophic consequences and mortality. However, investigations on the hesitancy and vaccination behavior of PLWHA in China were lacking compared to the general population. From January 2022 to March 2022, we conducted a multi-center cross-sectional survey of PLWHA in China. Logistic regression models were used to examine factors associated to vaccine hesitancy and COVID-19 vaccine uptake. Among 1424 participants, 108 participants (7.6%) were hesitant to be vaccinated while 1258 (88.3%) had already received at least one dose of the COVID-19 vaccine. Higher COVID-19 vaccine hesitancy was associated with older age, a lower academic level, chronic disease, lower CD4+ T cell counts, severe anxiety and despair, and high perception of illness. Lower education level, lower CD4+ T cell counts, and significant anxiety and depression were all associated with a lower vaccination rate. When compared to vaccinated participants, those who were not hesitant but nevertheless unvaccinated had a higher presence of chronic disease and lower CD4+ T cell count. Tailored interventions (e.g. targeted education programs) based on these linked characteristics were required to alleviate concerns for PLWHA in promoting COVID-19 vaccination rates, particularly for PLWHA with lower education levels, lower CD4+ T cell counts, and severe anxiety and depression.

Area Development and Policy, the Greater BRICS and a new world order?

The establishment of new international economic, political and financial institutions (BRICS, SCO, BRI, EAEU, New Development Bank, Asian Infrastructure Investment Bank) by emerging economies was associated with a wave of interest in the way their relative growth was reshaping the global order. Most comparisons drew on gross domestic product (GDP) data. A succession of recent crises (Western financial crisis, COVID-19 pandemic, Western sanctions on Russia and the associated disruption of supply chains) has, however, suggested that, in terms of real production of energy and minerals, food and manufactures vital for human survival, emerging economies are far stronger that GDP data suggest. This commentary draws on output, trade and balance of payments data to demonstrate that it is indeed the case, though with significant differences between world regions. Moreover, the establishment of new international trade and payments settlement systems may also see a significant geographical redistribution of services, where Western economies remain for the moment dominant. (English) [ FROM AUTHOR]

Agricultural Production Networks and Upgrading from a Global-Local Perspective: A Review

The COVID-19 pandemic, extreme temperatures and the Russia-Ukraine conflict have exposed deficiencies in global agricultural production capacity and governance systems, which left low-income countries and regions to face more severe food insecurity. Thus, there is an urgent need for agricultural upgrading and the establishment of a more sustainable agricultural system. Although there is a large body of literature with rich theoretical and empirical case studies, there is still a lack of systematic analysis of these studies, and the summary of global agricultural production networks and the agricultural upgrading process is not sufficient. This article will first set up an organisational framework of global agricultural production networks and explore the implications of governance and agricultural upgrading within this framework. It will then summarise the local agricultural upgrading processes on global, national and local scales based on a review of the existing literature. The article argues that agricultural upgrading in the context of global linkages is mainly driven by private-sector standards while the state also plays multiple roles. Moreover, in the embedding process of global agricultural production networks into local areas, local actors can promote agricultural upgrading through capacity building and organisational innovation. This review has implications for the economic, social and environmental sustainability of agriculture in developing countries, and provides a reference for future research.