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Livestock farmers in Sweden usually grow feed grains for livestock but import protein feed from outside Sweden. Aside from the economic implications, some environmental issues are associated with this practice. We used life cycle assessment to evaluate the impact of local protein feed production on land use and greenhouse gas emissions, compared with the use of imported protein feed, for pig meat and dairy milk produced in Sweden. Our results showed that local production reduced greenhouse gas emissions by 4.5% and 12%, respectively, for pigs and dairy cows. Land use for feed production in Sweden increased by 11% for pigs and 25% for dairy cows, but total land use decreased for pig production and increased for dairy milk production. Increased protein feed cultivation in Sweden decreased inputs needed for animal production and improved some ecological processes (e.g. nutrient recycling) of the farm systems. However, the differences in results between scenarios are relatively small and influenced to an extent by methodological choices such as co-product allocation. Moreover, it was difficult to assess the contribution of greenhouse emissions from land use change. The available accounting methods we applied did not adequately account for the potential land use changes and in some cases provided conflicting results. We conclude that local protein feed production presents an opportunity to reduce greenhouse gas emissions but at a cost of increasing land occupation in Sweden for feed production.
To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders.
Data were from the World Health Organization (WHO) World Mental Health (WMH) surveys. Representative household samples were interviewed face to face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n = 636 78) and analyzed at different levels of clinical severity.
Among those with a DSM-IV disorder in the past 12 months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. A desire to handle the problem on one's own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers to both initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment drop-out (39.3%), followed by negative experiences with treatment providers (26.9% of respondents with severe disorders).
Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide.
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