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This study aims to understand the potential influence of several factors that may affect females’ intentions to undergo breast cancer screening (BCS) in Jordan.

A positivistic research methodology was used with the aim of gathering and interpreting the data quantitatively. A questionnaire was created and given to the selected respondents. Females who were at least 18 years old made up the study’s population. In addition, using a sample size of n = 237 was warranted and appropriate. Data were collected from Karak, Tafilah, Aqaba and Ma’an, four cities in southern Jordan. Smart partial least squares version 4.0.9.2 and SPSS version 26 have been used for data analysis.

The findings showed that attitudes, subjective norms, disease susceptibility and cues-to-action among females have a significant impact on their intention to undergo BCS. Whilst, the benefits of using BCS have not been shown to have a substantial impact on females’ intentions to undergo BCS. Furthermore, this study indicated that there were no significant differences between females’ intention to conduct BCS and the control variables (age and education).

There are specific restrictions in place. First, although the study’s sample size of respondents was adequate, it would be advantageous to have a larger sample size in the future to improve the reliability of the results. Second, the BCS behavior in Jordan’s southern cities was the sole subject of this study. Therefore, it would be beneficial to also explore other areas of Jordan. Third, only female candidates for BCS were examined in this study. It might be necessary to do a more thorough investigation to find the obstacles preventing them from performing the test. Fourth, the current study did not analyze the actual behavior required to perform the BCS test; instead, it sought to understand females’ intentions for undergoing the test. Therefore, it would be beneficial to research actual female behavior toward BCS in the future. The current study also used a quantitative research methodology. Therefore, more study is required using qualitative techniques like focus groups, interviews and brainstorming to better understand females’ intentions toward BCS.

According to the author’s best knowledge, this study marks the first effort to highlight behavioral intentions toward performing BCS in the Jordanian context. In addition, by incorporating extra factors obtained from the health belief model within the context of BCS behavior, the current study broadens the theory of reasoned action. This can be viewed as a significant contribution to the subject’s theoretical foundations. Besides, the current study incorporated demographic characteristics and used them as a control variable. This can be seen as another contribution to the literature on health-care marketing in the case of BCS.

This study underscores the critical importance of well-functioning sewer systems in achieving smart and sustainable urban drainage within cities. It specifically targets the pressing issue of sewer overflows (SO), widely recognized for their detrimental impact on the environment and public health. The primary purpose of this research is to bridge significant research gaps by investigating the root causes of SO incidents and comprehending their broader ecological consequences.

To fill research gaps, the study introduces the Multi-Phase Causal Inference Fuzzy-Based Framework (MCIF). MCIF integrates the fuzzy Delphi technique, fuzzy DEMATEL method, fuzzy TOPSIS technique and expert interviews. Drawing on expertise from developed countries, MCIF systematically identifies and prioritizes SO causes, explores causal interrelationships, prioritizes environmental impacts and compiles mitigation strategies.

The study's findings are multifaceted and substantially contribute to addressing SO challenges. Utilizing the MCIF, the research effectively identifies and prioritizes causal factors behind SO incidents, highlighting their relative significance. Additionally, it unravels intricate causal relationships among key factors such as blockages, flow velocity, infiltration and inflow, under-designed pipe diameter and pipe deformation, holes or collapse, providing a profound insight into the intricate web of influences leading to SO.

This study introduces originality by presenting the innovative MCIF tailored for SO mitigation. The combination of fuzzy techniques, expert input and holistic analysis enriches the existing knowledge. These findings pave the way for informed decision-making and proactive measures to achieve sustainable urban drainage systems.