Copyright (c) 2026 Nasib Ahmad Shaikhal, Mohibullah Mako

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The Effects of Noise Pollution on the Academic Performance of EFL learners at Kandahar University
Corresponding Author(s) : Nasib Ahmad Shaikhal
Journal of Social Sciences and Humanities,
Vol. 3 No. 1 (2026): January
Abstract
Noise pollution is regarded as a fundamental aspect during learning and can significantly influence learners’ academic performance; however, limited research has examined its impact on EFL learners and the specific sources of noise within Afghan universities. The study aimed to determine the effects of noise pollution on the academic performance of EFL learners and to identify the key sources contributing to noise pollution at Kandahar University. For this purpose, a quantitative survey design was employed, and the data were collected from EFL learners of the Faculty of Education at Kandahar University using a questionnaire. The target population consisted of 90 students, and 73 were randomly selected as the study sample. The collected data were analyzed using SPSS version 26, with descriptive statistics. The findings indicate that noise pollution adversely influences the academic performance of EFL learners, and high levels of noise negatively interfere with critical academic tasks such as reading, learning, studying, concentration, and exam performance. The findings also indicate that the majority of respondents were neutral toward the sources of noise. Only the transportation of unregulated vehicles within the university was identified as a contributing source of noise pollution, while sources such as cleaning activities, fan spinning, security alarms, musical programs, and cultural events were not determined to be disruptive noise sources. To better understand the effects of noise and its contributing sources, the research highlights the need to include teachers’ perspectives and to investigate the health impacts of noise pollution on students.
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- Abduljabbar Ibrahim, S. (2018). Study Noise Effects on The Students of The Faculty of Engineering/ Mustansiriyah University. Al-Nahrain Journal for Engineering Sciences, 21(2), 178–186. https://doi.org/10.29194/NJES21020178 DOI: https://doi.org/10.29194/NJES21020178
- Akhtar, J., Anjum, N., & Iftikhar, N. (2013). Evaluation of the impact of noise pollution on students in congested area of Rawalpindi. Nurture, 7(1), 1–9. https://doi.org/10.55951/NURTURE.V7I1.65 DOI: https://doi.org/10.55951/nurture.v7i1.65
- Ali, A., & Mohamad Hussain, R. (2018). Cognitive impairment among young motorcyclists: A controlled study. Environment-Behaviour Proceedings Journal, 3(7). https://doi.org/10.21834/E-BPJ.V3I7.1268 DOI: https://doi.org/10.21834/e-bpj.v3i7.1268
- Ali, H. H. M., Farhan, A. H., & Jawad, A. S. (2023). Comprehensive Review of Noise Pollution Sources, Health Impacts, and Acoustic Environments Affecting College and University Students. Mesopotamian Journal of Civil Engineering, 2023, 86–97. https://doi.org/10.58496/MJCE/2023/011 DOI: https://doi.org/10.58496/MJCE/2023/011
- American Psychological Association. (n.d.). Learning and memory. Retrieved January 13, 2026, Link
- Atamer, S., & Altinsoy, M. E. (2023). Vacuum Cleaner Noise Annoyance: An Investigation of Psychoacoustic Parameters, Effect of Test Methodology, and Interaction Effect between Loudness and Sharpness. Applied Sciences (Switzerland), 13(10). https://doi.org/10.3390/APP13106136 DOI: https://doi.org/10.3390/app13106136
- Babisch, W. (2011). Cardiovascular effects of noise. Noise & Health, 13(52), 201–204. https://doi.org/10.4103/1463-1741.80148 DOI: https://doi.org/10.4103/1463-1741.80148
- Buchari, & Matondang, N. (2017). The impact of noise level on students’ learning performance at state elementary school in Medan. AIP Conference Proceedings, 1855. https://doi.org/10.1063/1.4985498 DOI: https://doi.org/10.1063/1.4985498
- Connolly, D., Dockrell, J., Shield, B., Conetta, R., Mydlarz, C., & Cox, T. (2019). The effects of classroom noise on the reading comprehension of adolescents. The Journal of the Acoustical Society of America, 145(1), 372–381. https://doi.org/10.1121/1.5087126 DOI: https://doi.org/10.1121/1.5087126
- Creswell, J. W. . (2013). Educational research : planning, conducting, and evaluating quantitative and qualitative research. 650.
- Darling-Hammond, L., & Cook-Harvey, C. (2018). Educating the Whole Child: Improving School Climate to Support Student Success. https://doi.org/10.54300/145.655 DOI: https://doi.org/10.54300/145.655
- Diaco, S. B. (2014). Effects of Noise Pollution in the Learning Environment on Cognitive Performances. Liceo Journal of Higher Education Research, 10(1). https://doi.org/10.7828/LJHER.V10I1.655 DOI: https://doi.org/10.7828/ljher.v10i1.655
- Enmarker, I., & Boman, E. (2004). Noise annoyance responses of middle school pupils and teachers. Journal of Environmental Psychology, 24(4), 527–536. https://doi.org/10.1016/J.JENVP.2004.09.005 DOI: https://doi.org/10.1016/j.jenvp.2004.09.005
- Fatima, K., Rampal, R., Muslim, M., & Hussain, K. (2023). Evaluating the noise exposure levels of different schools in noise-scapes of Kargil town: Ladakh, India. Noise and Vibration Worldwide, 54(4–5), 215–223. https://doi.org/10.1177/09574565231161647 DOI: https://doi.org/10.1177/09574565231161647
- Gilavand, A., & Jamshidnezhad, A. (2016). The effect of noise in educational institutions on learning and academic achievement of elementary students in Ahvaz, South-West of Iran. International Journal of Pediatrics, 4(3), 1453–1463. https://doi.org/10.22038/IJP.2016.6500
- Goldschagg, P., & Bekker, T. (2020). Effects of Classroom Noise on Learning: Perceptions of Grade 10–12 Girl Learners. Africa Education Review, 17(6), 46–64. https://doi.org/10.1080/18146627.2021.2004551 DOI: https://doi.org/10.1080/18146627.2021.2004551
- Hall, S. J., Aisbett, B., Tait, J. L., Turner, A. I., Ferguson, S. A., & Main, L. C. (2016). The acute physiological stress response to an emergency alarm and mobilization during the day and at night. Noise & Health, 18(82), 150–156. https://doi.org/10.4103/1463-1741.181998 DOI: https://doi.org/10.4103/1463-1741.181998
- Ibem, E., Alagbe, O., & Owoseni, A. (2017). A STUDY OF STUDENTS’ PERCEPTION OF THE LEARNING ENVIRONMENT: CASE STUDY OF DEPARTMENT OF ARCHITECTURE, COVENANT UNIVERSITY, OTA OGUN STATE. INTED2017 Proceedings, 1, 6275–6286. https://doi.org/10.21125/INTED.2017.1455 DOI: https://doi.org/10.21125/inted.2017.1455
- Ibrahim, S. A. J. (2023). Reviewing the effects of noise pollution on students (college and university). AIP Conference Proceedings, 2591(1). https://doi.org/10.1063/5.0121878/2880359 DOI: https://doi.org/10.1063/5.0121878
- Ismail, S., & Ahmed, S. (2018). Noise pollution, its sources and effects: A Case study of University students in Delhi. Link
- Klatte, M., Bergström, K., & Lachmann, T. (2013). Does noise affect learning? A short review on noise effects on cognitive performance in children. Frontiersin.OrgM Klatte, K Bergström, T LachmannFrontiers in Psychology, 2013•frontiersin.Org, 4. https://doi.org/10.3389/FPSYG.2013.00578/FULL DOI: https://doi.org/10.3389/fpsyg.2013.00578
- Krejcie, R. V., & Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30(3), 607–610. https://doi.org/10.1177/001316447003000308 DOI: https://doi.org/10.1177/001316447003000308
- Lundquist, P., Holmberg, K., Health, U. L.-N. and, & 2000, undefined. (n.d.). Annoyance and effects on work from environmental noise at school. Journals.Lww.ComP Lundquist, K Holmberg, U LandstromNoise and Health, 2000•journals.Lww.Com. Retrieved October 29, 2025, Link
- Mustafa, H. M., & Al-Hamadi, A. (2017). An Overview on Classrooms’ Academic Performance Considering: Non-Properly Prepared Instructors, Noisy Learning Environment, and Overcrowded Classes (Neural Networks’ Approach). International Journal of Learning, 3(1), 38–45. https://doi.org/10.18178/IJLT.3.1.38-45 DOI: https://doi.org/10.18178/ijlt.3.1.38-45
- Nazneen, S., Raza, A., & Khan, S. (2020). Assessment of noise pollution and associated subjective health complaints and psychological symptoms: analysis through structure equation model. Environmental Science and Pollution Research International, 27(17), 21570–21580. https://doi.org/10.1007/S11356-020-08655-X DOI: https://doi.org/10.1007/s11356-020-08655-x
- Noise Definition & Meaning | Britannica Dictionary. (n.d.). Retrieved October 28, 2025, Link
- Noise pollution | Definition, Examples, Effects, Control, & Facts | Britannica. (n.d.). Retrieved October 28, 2025, Link
- Ogwo, V., Egeruoh, A., Onoja, A., & Awurum, I. (n.d.). Perceived Effects of Noise Pollution on Classroom Instruction and Students Concentration in Tertiary Institutions in Imo State. Academia.EduVO Ogwo, AS Egeruoh, AI Onoja, IN Awurumacademia.Edu. Retrieved October 28, 2025, Link
- Ransdell, S. E., & Gilroy, L. (2001). The Effects of Background Music on Word Processed Writing. Computers in Human Behavior, 17(2), 141. https://doi.org/10.1016/S0747-5632(00)00043-1 DOI: https://doi.org/10.1016/S0747-5632(00)00043-1
- Said Abubakar, A., Bello, N. I., Khalil, M. S., & Bello, A. (2021). ASSESSMENT OF THE EFFECTS OF NOISE POLLUTION ON STUDENTS PERFORMANCE IN KANO METROPOLITAN LOCAL GOVERNMENT AREAS. Dergipark.Org.TrNI BelloInternational Journal of Environmental Pollution and Environmental, 2021•dergipark.Org.Tr, 4(2), 76–84. Link
- Sala, E., & Rantala, L. (2016). Acoustics and activity noise in school classrooms in Finland. Applied Acoustics, 114, 252–259. https://doi.org/10.1016/J.APACOUST.2016.08.009 DOI: https://doi.org/10.1016/j.apacoust.2016.08.009
- Seetha, P., Karmegam, K., … M. I.-J. of S. &, & 2008, undefined. (n.d.). Effects to teaching environment of noise level in school classrooms. Researchgate.Net. Retrieved October 28, 2025, Link
- Shield, B. M., & Dockrell, J. E. (2003). The effects of noise on children at school: A review. Journals.Sagepub.ComBM Shield, JE DockrellBuilding Acoustics, 2003•journals.Sagepub.Com, 10(2), 97–116. https://doi.org/10.1260/135101003768965960 DOI: https://doi.org/10.1260/135101003768965960
- Shield, B., Public, J. D.-9th I. C. on N. as a, & 2008, undefined. (2008). The Effects of classroom and environmental noise on children’s academic performance. Icben.OrgB Shield, J Dockrell9th International Congress on Noise as a Public Health Problem (ICBEN, 2008•icben.Org. https://www.icben.org/2008/PDFs/Shield_Dockrell.pdf
- Shirzad, W., Behsoodi, M. M., Safi, H. U., & Samir, S. (2024). A Study of Urban Noise Pollution in Jalalabad City of Nangarhar Province, Afghanistan. Journal of Management, and Development Research, 1(2), 18–26. https://doi.org/10.69739/JMDR.V1I2.164 DOI: https://doi.org/10.69739/jmdr.v1i2.164
- Singh, N., & Davar, S. C. (2004). Noise Pollution-Sources, Effects and Control. Journal of Human Ecology, 16(3), 181–187. https://doi.org/10.1080/09709274.2004.11905735 DOI: https://doi.org/10.1080/09709274.2004.11905735
- Visentin, C., Pellegatti, M., Garraffa, M., Di Domenico, A., & Prodi, N. (2023). Individual characteristics moderate listening effort in noisy classrooms. Scientific Reports 2023 13:1, 13(1), 1–14. https://doi.org/10.1038/s41598-023-40660-1 DOI: https://doi.org/10.1038/s41598-023-40660-1
- Xhaferi, B. (2017). The impact of quality teaching on student achievement. Contemporary Educational Researches Journal, 7(4), 150–157. https://doi.org/10.18844/CERJ.V7I4.2717 DOI: https://doi.org/10.18844/cerj.v7i4.2717
- Zhang, B., & Navejar, R. (2018). Effects of Ambient Noise on the Measurement of Mathematics Achievement for Urban High School Students. Urban Education, 53(10), 1195–1209. https://doi.org/10.1177/0042085915613555;PAGEGROUP:STRING:PUBLICATION DOI: https://doi.org/10.1177/0042085915613555
- Zhang, J. (2023). The Impact of the Learning Environment on English Language Learning. Journal of Education, Humanities and Social Sciences, 23, 69–72. https://doi.org/10.54097/EHSS.V23I.12737 DOI: https://doi.org/10.54097/ehss.v23i.12737
References
Abduljabbar Ibrahim, S. (2018). Study Noise Effects on The Students of The Faculty of Engineering/ Mustansiriyah University. Al-Nahrain Journal for Engineering Sciences, 21(2), 178–186. https://doi.org/10.29194/NJES21020178 DOI: https://doi.org/10.29194/NJES21020178
Akhtar, J., Anjum, N., & Iftikhar, N. (2013). Evaluation of the impact of noise pollution on students in congested area of Rawalpindi. Nurture, 7(1), 1–9. https://doi.org/10.55951/NURTURE.V7I1.65 DOI: https://doi.org/10.55951/nurture.v7i1.65
Ali, A., & Mohamad Hussain, R. (2018). Cognitive impairment among young motorcyclists: A controlled study. Environment-Behaviour Proceedings Journal, 3(7). https://doi.org/10.21834/E-BPJ.V3I7.1268 DOI: https://doi.org/10.21834/e-bpj.v3i7.1268
Ali, H. H. M., Farhan, A. H., & Jawad, A. S. (2023). Comprehensive Review of Noise Pollution Sources, Health Impacts, and Acoustic Environments Affecting College and University Students. Mesopotamian Journal of Civil Engineering, 2023, 86–97. https://doi.org/10.58496/MJCE/2023/011 DOI: https://doi.org/10.58496/MJCE/2023/011
American Psychological Association. (n.d.). Learning and memory. Retrieved January 13, 2026, Link
Atamer, S., & Altinsoy, M. E. (2023). Vacuum Cleaner Noise Annoyance: An Investigation of Psychoacoustic Parameters, Effect of Test Methodology, and Interaction Effect between Loudness and Sharpness. Applied Sciences (Switzerland), 13(10). https://doi.org/10.3390/APP13106136 DOI: https://doi.org/10.3390/app13106136
Babisch, W. (2011). Cardiovascular effects of noise. Noise & Health, 13(52), 201–204. https://doi.org/10.4103/1463-1741.80148 DOI: https://doi.org/10.4103/1463-1741.80148
Buchari, & Matondang, N. (2017). The impact of noise level on students’ learning performance at state elementary school in Medan. AIP Conference Proceedings, 1855. https://doi.org/10.1063/1.4985498 DOI: https://doi.org/10.1063/1.4985498
Connolly, D., Dockrell, J., Shield, B., Conetta, R., Mydlarz, C., & Cox, T. (2019). The effects of classroom noise on the reading comprehension of adolescents. The Journal of the Acoustical Society of America, 145(1), 372–381. https://doi.org/10.1121/1.5087126 DOI: https://doi.org/10.1121/1.5087126
Creswell, J. W. . (2013). Educational research : planning, conducting, and evaluating quantitative and qualitative research. 650.
Darling-Hammond, L., & Cook-Harvey, C. (2018). Educating the Whole Child: Improving School Climate to Support Student Success. https://doi.org/10.54300/145.655 DOI: https://doi.org/10.54300/145.655
Diaco, S. B. (2014). Effects of Noise Pollution in the Learning Environment on Cognitive Performances. Liceo Journal of Higher Education Research, 10(1). https://doi.org/10.7828/LJHER.V10I1.655 DOI: https://doi.org/10.7828/ljher.v10i1.655
Enmarker, I., & Boman, E. (2004). Noise annoyance responses of middle school pupils and teachers. Journal of Environmental Psychology, 24(4), 527–536. https://doi.org/10.1016/J.JENVP.2004.09.005 DOI: https://doi.org/10.1016/j.jenvp.2004.09.005
Fatima, K., Rampal, R., Muslim, M., & Hussain, K. (2023). Evaluating the noise exposure levels of different schools in noise-scapes of Kargil town: Ladakh, India. Noise and Vibration Worldwide, 54(4–5), 215–223. https://doi.org/10.1177/09574565231161647 DOI: https://doi.org/10.1177/09574565231161647
Gilavand, A., & Jamshidnezhad, A. (2016). The effect of noise in educational institutions on learning and academic achievement of elementary students in Ahvaz, South-West of Iran. International Journal of Pediatrics, 4(3), 1453–1463. https://doi.org/10.22038/IJP.2016.6500
Goldschagg, P., & Bekker, T. (2020). Effects of Classroom Noise on Learning: Perceptions of Grade 10–12 Girl Learners. Africa Education Review, 17(6), 46–64. https://doi.org/10.1080/18146627.2021.2004551 DOI: https://doi.org/10.1080/18146627.2021.2004551
Hall, S. J., Aisbett, B., Tait, J. L., Turner, A. I., Ferguson, S. A., & Main, L. C. (2016). The acute physiological stress response to an emergency alarm and mobilization during the day and at night. Noise & Health, 18(82), 150–156. https://doi.org/10.4103/1463-1741.181998 DOI: https://doi.org/10.4103/1463-1741.181998
Ibem, E., Alagbe, O., & Owoseni, A. (2017). A STUDY OF STUDENTS’ PERCEPTION OF THE LEARNING ENVIRONMENT: CASE STUDY OF DEPARTMENT OF ARCHITECTURE, COVENANT UNIVERSITY, OTA OGUN STATE. INTED2017 Proceedings, 1, 6275–6286. https://doi.org/10.21125/INTED.2017.1455 DOI: https://doi.org/10.21125/inted.2017.1455
Ibrahim, S. A. J. (2023). Reviewing the effects of noise pollution on students (college and university). AIP Conference Proceedings, 2591(1). https://doi.org/10.1063/5.0121878/2880359 DOI: https://doi.org/10.1063/5.0121878
Ismail, S., & Ahmed, S. (2018). Noise pollution, its sources and effects: A Case study of University students in Delhi. Link
Klatte, M., Bergström, K., & Lachmann, T. (2013). Does noise affect learning? A short review on noise effects on cognitive performance in children. Frontiersin.OrgM Klatte, K Bergström, T LachmannFrontiers in Psychology, 2013•frontiersin.Org, 4. https://doi.org/10.3389/FPSYG.2013.00578/FULL DOI: https://doi.org/10.3389/fpsyg.2013.00578
Krejcie, R. V., & Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30(3), 607–610. https://doi.org/10.1177/001316447003000308 DOI: https://doi.org/10.1177/001316447003000308
Lundquist, P., Holmberg, K., Health, U. L.-N. and, & 2000, undefined. (n.d.). Annoyance and effects on work from environmental noise at school. Journals.Lww.ComP Lundquist, K Holmberg, U LandstromNoise and Health, 2000•journals.Lww.Com. Retrieved October 29, 2025, Link
Mustafa, H. M., & Al-Hamadi, A. (2017). An Overview on Classrooms’ Academic Performance Considering: Non-Properly Prepared Instructors, Noisy Learning Environment, and Overcrowded Classes (Neural Networks’ Approach). International Journal of Learning, 3(1), 38–45. https://doi.org/10.18178/IJLT.3.1.38-45 DOI: https://doi.org/10.18178/ijlt.3.1.38-45
Nazneen, S., Raza, A., & Khan, S. (2020). Assessment of noise pollution and associated subjective health complaints and psychological symptoms: analysis through structure equation model. Environmental Science and Pollution Research International, 27(17), 21570–21580. https://doi.org/10.1007/S11356-020-08655-X DOI: https://doi.org/10.1007/s11356-020-08655-x
Noise Definition & Meaning | Britannica Dictionary. (n.d.). Retrieved October 28, 2025, Link
Noise pollution | Definition, Examples, Effects, Control, & Facts | Britannica. (n.d.). Retrieved October 28, 2025, Link
Ogwo, V., Egeruoh, A., Onoja, A., & Awurum, I. (n.d.). Perceived Effects of Noise Pollution on Classroom Instruction and Students Concentration in Tertiary Institutions in Imo State. Academia.EduVO Ogwo, AS Egeruoh, AI Onoja, IN Awurumacademia.Edu. Retrieved October 28, 2025, Link
Ransdell, S. E., & Gilroy, L. (2001). The Effects of Background Music on Word Processed Writing. Computers in Human Behavior, 17(2), 141. https://doi.org/10.1016/S0747-5632(00)00043-1 DOI: https://doi.org/10.1016/S0747-5632(00)00043-1
Said Abubakar, A., Bello, N. I., Khalil, M. S., & Bello, A. (2021). ASSESSMENT OF THE EFFECTS OF NOISE POLLUTION ON STUDENTS PERFORMANCE IN KANO METROPOLITAN LOCAL GOVERNMENT AREAS. Dergipark.Org.TrNI BelloInternational Journal of Environmental Pollution and Environmental, 2021•dergipark.Org.Tr, 4(2), 76–84. Link
Sala, E., & Rantala, L. (2016). Acoustics and activity noise in school classrooms in Finland. Applied Acoustics, 114, 252–259. https://doi.org/10.1016/J.APACOUST.2016.08.009 DOI: https://doi.org/10.1016/j.apacoust.2016.08.009
Seetha, P., Karmegam, K., … M. I.-J. of S. &, & 2008, undefined. (n.d.). Effects to teaching environment of noise level in school classrooms. Researchgate.Net. Retrieved October 28, 2025, Link
Shield, B. M., & Dockrell, J. E. (2003). The effects of noise on children at school: A review. Journals.Sagepub.ComBM Shield, JE DockrellBuilding Acoustics, 2003•journals.Sagepub.Com, 10(2), 97–116. https://doi.org/10.1260/135101003768965960 DOI: https://doi.org/10.1260/135101003768965960
Shield, B., Public, J. D.-9th I. C. on N. as a, & 2008, undefined. (2008). The Effects of classroom and environmental noise on children’s academic performance. Icben.OrgB Shield, J Dockrell9th International Congress on Noise as a Public Health Problem (ICBEN, 2008•icben.Org. https://www.icben.org/2008/PDFs/Shield_Dockrell.pdf
Shirzad, W., Behsoodi, M. M., Safi, H. U., & Samir, S. (2024). A Study of Urban Noise Pollution in Jalalabad City of Nangarhar Province, Afghanistan. Journal of Management, and Development Research, 1(2), 18–26. https://doi.org/10.69739/JMDR.V1I2.164 DOI: https://doi.org/10.69739/jmdr.v1i2.164
Singh, N., & Davar, S. C. (2004). Noise Pollution-Sources, Effects and Control. Journal of Human Ecology, 16(3), 181–187. https://doi.org/10.1080/09709274.2004.11905735 DOI: https://doi.org/10.1080/09709274.2004.11905735
Visentin, C., Pellegatti, M., Garraffa, M., Di Domenico, A., & Prodi, N. (2023). Individual characteristics moderate listening effort in noisy classrooms. Scientific Reports 2023 13:1, 13(1), 1–14. https://doi.org/10.1038/s41598-023-40660-1 DOI: https://doi.org/10.1038/s41598-023-40660-1
Xhaferi, B. (2017). The impact of quality teaching on student achievement. Contemporary Educational Researches Journal, 7(4), 150–157. https://doi.org/10.18844/CERJ.V7I4.2717 DOI: https://doi.org/10.18844/cerj.v7i4.2717
Zhang, B., & Navejar, R. (2018). Effects of Ambient Noise on the Measurement of Mathematics Achievement for Urban High School Students. Urban Education, 53(10), 1195–1209. https://doi.org/10.1177/0042085915613555;PAGEGROUP:STRING:PUBLICATION DOI: https://doi.org/10.1177/0042085915613555
Zhang, J. (2023). The Impact of the Learning Environment on English Language Learning. Journal of Education, Humanities and Social Sciences, 23, 69–72. https://doi.org/10.54097/EHSS.V23I.12737 DOI: https://doi.org/10.54097/ehss.v23i.12737
Accepted 2026-01-26
Published 2026-01-31