Search Results (403)

Existing research has shown that individuals’ early-life experiences exert a sustained impact on their social life in adulthood. However, there remains a lack of understanding regarding how childhood migration experiences influence entrepreneurial behaviors. Using data from the 2017 China Migrants Dynamic Survey (CMDS), this paper examines the effects of childhood migration experiences on migrants’ entrepreneurial propensity. The findings indicate that childhood migration experiences increase the likelihood of migrants engaging in self-employment or entrepreneurship in China, and this result holds consistent across several robustness checks. The research further reveals that social capital and human capital mediate the relationship between childhood migration experiences and entrepreneurial choices. Additionally, for migrants aged over 35, and those who migrated alone during their first-time migration, the positive effects of childhood migration experiences are more significant. Also, among the three age cohorts of childhood migration, the entrepreneurial effects of migration at ages 7–12 and 13–18 are significantly stronger than those of migration before age 6. This research highlights the long-term impact of childhood migration experiences on shaping individuals’ entrepreneurial choices, which provides theoretical and practical evidence for government policies that promote entrepreneurship. Full article

Background/Objectives: The aim of this study was to evaluate the oral health status of socially vulnerable children and adolescents in Seville and to examine its associations with behavioral and sociodemographic determinants. We hypothesized that greater social vulnerability and suboptimal behaviors would be associated with higher caries experience. Methods: A cross-sectional analytical study was conducted on 250 participants aged 2 to 17 years attending the Luis Séiquer Social Dentistry Foundation between January and March 2025. Clinical examinations followed the WHO Oral Health Surveys: Basic Methods (5th edition, 2013) and were performed by a calibrated dentist. Variables included dental caries indices (dft, DMFT), pulpal treatment needs, and oral hygiene practices. Statistical analyses included Kruskal–Wallis, Mann–Whitney U, Fisher’s exact tests, and multivariate regression models (significance level p < 0.05). Results: Caries prevalence was high across all age groups, particularly in primary dentition (mean dft = 3.05 ± 3.80; DMFT = 2.99 ± 3.66; p < 0.001). Pulp therapy needs were significantly higher among preschoolers (mean = 2.22 ± 2.31). Factors such as low parental education, migrant background, insufficient toothbrushing frequency, and frequent sugar intake were strongly associated with poorer oral health outcomes. Although fluoridated toothpaste use was widespread (>94%), dental floss use remained limited (34.8%). Multivariate analyses confirmed a strong association between social inequalities and oral disease burden. Conclusions: Children and adolescents from vulnerable groups in Seville experience a high prevalence of dental caries and substantial unmet treatment needs. Findings highlight marked oral health disparities linked to socioeconomic status, emphasizing the urgent need for early preventive programs, culturally adapted oral health education, and equitable access to dental care. Full article

Intergenerational contact is a key component of the informal support systems that contribute to the wellbeing of older adults. As societies age and migration patterns diversify family structures, understanding how contact is sustained across generations becomes increasingly relevant for health equity and the sustainability of care systems. In this study, we conceptualise sustainability not in environmental terms but as social and health-system sustainability—that is, the long-term ability of families and care systems to maintain intergenerational ties, ensure equitable access to support, and remain resilient under demographic and social pressures. Drawing on theories of intergenerational solidarity and social capital, this study situates contact as both a resource for individual wellbeing and a pillar of care sustainability in diverse societies. We examine the frequency of contact between parents and adult children among adults aged 50 and above, comparing migrant and non-migrant populations across 25 European countries. Using data from Waves 7, 8, and the COVID-19 wave of the Survey of Health, Ageing and Retirement in Europe (SHARE), we assess both in-person and digital forms of contact before and during the pandemic. Results show that older migrants have less frequent contact with parents but more frequent contact with children than do non-migrants, with similar patterns attested across repeated cross-sections (2017, 2019, 2021). The strong contact observed in each cross-section, facilitated by digital tools, implies resilient family ties under public-health stress. However, resilience is uneven: weaker contact with parents among migrant populations reflects structural barriers such as visa restrictions, caregiving responsibilities, discrimination, language barriers, and unequal digital access. Moreover, differences in access and proficiency with digital tools suggest that digital contact did not compensate equally across groups. These findings underscore the importance of sustainable and inclusive strategies in ageing and health policy. Specifically, targeted digital literacy programmes for older migrants, policies supporting transnational caregiving, affordable internet access, mobility solutions, and anti-discrimination measures in family visitation are crucial to reducing inequities. Full article

Background: People experiencing homelessness (PEH) face significant health disparities and systemic barriers to healthcare, elevating their risk for cancer and other chronic diseases. To tackle PEHs’ challenges in accessing cancer preventive care, the CANCERLESS project implemented the Health Navigator Model (HNM)—a person-centered intervention that utilizes trained Health Navigators to provide tailored support and facilitate service access. Recognizing housing as a key determinant of health, this analysis assessed changes in housing status associated with participation in the HNM among CANCERLESS participants in Austria, Greece, Spain, and the UK. Methods: This was a secondary analysis of cross-national data collected during a single-arm interventional study. Of 652 enrolled PEH, 277 (42.5%) completed the HNM intervention follow-up and were included in the analysis. Changes in housing status from baseline to follow-up were categorized using the European Typology of Homelessness and Housing Exclusion (ETHOS) and treated as an ordered outcome. Descriptive statistics were complemented by a cumulative link mixed model with a participant random intercept to estimate the association between time (follow-up vs. baseline) and housing transitions among completers, adjusting for age, residence/legal status, and daily smoking. Results: Participants had a mean age of 47.4 (SD 13.8), primarily identified as male (64.1%), reported upper secondary education (33.9%), and were from Western European countries (39.7%), with varying housing situations. Among intervention completers, time (follow-up vs. baseline) was associated with higher odds of being in a higher ETHOS category (OR = 1.49, 95% CI = 1.02–2.20, p = 0.042), consistent with a modest improvement in housing status. Larger estimates were observed among migrants without legal documents (OR = 24.13, 95% CI = 6.41–90.89, p < 0.001), while daily smoking was associated with lower odds (OR = 0.33, 95% CI = 0.11–0.96, p = 0.041); other residence status categories were not statistically significant. Conclusions: Suggesting that tailored, navigation-based models, such as the HNM, may be linked to improved housing stability for PEH, these findings can inform piloting and context-aligned integration of the HNM within public health strategies as an alternative approach to address the complex, interconnected health and social needs of PEH. However, the lack of a comparison group and high attrition limit the results’ conclusiveness, and future evaluations should aim to include assessments of housing-associated contextual factors. Full article

Background/Objectives: Migrants are recognized as a vulnerable population for non-communicable diseases (NCDs) due to unique socio-cultural and environmental challenges associated with acculturation. Despite a growing migrant population, evidence on NCD risk among migrants in Japan is scarce. This study examined the prevalence, co-occurrence, and clustering of modifiable NCD risk factors among middle-aged foreign residents in Japan. Methods: A cross-sectional web-based survey was conducted among foreign residents aged 30–60 years (n = 384). Eight risk factors were assessed: tobacco use (including cigarettes, e-cigarettes, and chewable tobacco), harmful alcohol consumption, inadequate fruit and vegetable intake, frequent consumption of ultra-processed foods, insufficient physical activity (PA), poor sleep, high stress levels, and high BMI. Latent class analysis (LCA) was used to identify risk clusters, and associations with demographic and socioeconomic characteristics were examined. Results: The prevalence of risk behaviours was high, with 96% reporting inadequate fruit and vegetable intake, 55% poor sleep, and 50% insufficient PA. Risk factor co-occurrence was common: 32% reported three concurrent risks, 27.1% reported four, and 17.2% reported five or more. LCA identified two clusters. Cluster 1 (46.9% of participants) was characterized by tobacco and alcohol use, with inadequate diet and poor sleep. Cluster 2 (53.1% of participants) was defined by insufficient PA, inadequate diet, and poor sleep, but low tobacco and alcohol use. Cluster membership varied significantly by sex and employment. Conclusions: This study provides preliminary evidence of the high prevalence and clustering of modifiable NCD risk factors among middle-aged migrants in Japan. Findings highlight the need for comprehensive, multi-behavioral interventions tailored to migrant populations, while considering gender roles and occupational contexts. Full article

This study investigates factors influencing migrants’ decisions to enter Europe via Bulgaria or Greece along the Balkan route, using logistic regression and machine learning models on data from the International Organization for Migration (IOM) Flow Monitoring Survey (August 2022–June 2025, $n=5536$). We examine demographic variables (age), push factors (economic reasons, war/conflict, personal violence, limited access to services, and avoiding military service), and governance clusters derived from the World Bank’s Worldwide Governance Indicators (WGIs). An adapted migration gravity model incorporates corruption control as a key push–pull factor. Key findings indicate that younger migrants are significantly more likely to choose Bulgaria ($\beta \approx -0.021$, $p<0.001$), and governance clusters show that migrants from high-corruption origins (e.g., Syria and Afghanistan) prefer Bulgaria, likely due to governance similarities and facilitation costs. The Cluster Model achieves a slight improvement in fit (McFadden’s $R^2=0.008$, AIC = 7367) compared to the Base (AIC = 7374) and Interaction (AIC = 7391) models. Machine learning extensions using LASSO and Random Forests on a subset of data ($n=4429$) yield similar moderate performance (AUC: LASSO = 0.524, RF = 0.515). These insights highlight corruption’s role in route selection, offering policy recommendations for origin, transit, and destination phases. Full article

Labour migration from Central and Eastern Europe plays a significant role in the labour market of the European Union, yet few studies examine the direction and extent of occupational mobility triggered by migration. This study introduces a new analytical tool, the Career Benefit Index, which measures the direction of change in occupational status between the labour markets of the country of origin and the host country. The tool also enables the assessment of sociological factors that explain these changes. The index was developed using data from Hungarian workers living in Austria and Germany. The analysis revealed that educational attainment has no significant impact on career mobility. In contrast, demographic factors such as gender, age, and particularly very high-level German language proficiency strongly influence career trajectories. The index demonstrates that labour market capacities play a limited role in shaping migrants’ career paths, as the host labour markets tend to “evaluate” migrant workers primarily based on their linguistic and demographic attributes. The index and the findings contribute to a deeper understanding of labour market integration among Central and Eastern European migrants and may offer new directions for migration and employment policy analysis. Full article

The paper examines the current landscape, as well as the promises and pitfalls, of the digital transition in agricultural production and rural areas in Greece. It questions whether digitalisation is a viable option given the demographic dynamics, gaps in digital infrastructure, and heavy reliance on migrant labour in rural Greece. The methodological approach employs a mixed-methods design, integrating statistical and cartographic analyses of available census data with qualitative methods (semi-structured interviews, ethnographic observations, and a focus group). The main research question is grounded in a brief theoretical framework that addresses critiques of the inevitability of technological innovation and highlights the need to understand the complex dynamics of digital change. The paper analyses the dynamics and challenges of digital change in rural Greece, examining how demographic change and ageing, the structure and size of farms, and dependence on migrant labour relate to gaps and inequalities in digital infrastructure and skills. A critique of the prevailing discourse on digital transformation is supported by a discussion of the recently collected qualitative empirical material. The concluding section highlights the key findings and provides policy recommendations. Full article

Introduction: Ambiguous loss is a profound yet underexplored phenomenon in the lives of aging migrants. Older adults who have experienced migration often face disruptions to their sense of belonging, identity, and continuity across borders. These losses are compounded by aging, health challenges, and social isolation. Despite its significance, ambiguous loss among aging migrants has not been conceptually analyzed in depth, limiting the development of culturally responsive care practices. Aim: This concept analysis aimed to identify the defining attributes of ambiguous loss among aging migrants and to develop a conceptual definition that enhances our understanding of the phenomenon and informs future research and practice. Method: Walker and Avant’s eight-step concept analysis framework was applied to examine the concept of ambiguous loss in the context of aging migrants. A systematic keyword search was conducted across four databases (CINAHL, Medline, SCOPUS, PsycINFO), Google Scholar, and relevant gray literature, covering the years of 2010–2024. Covidence software supported the screening process. From 367 records identified, 146 underwent full-text review, and 74 met inclusion criteria. The analysis drew on literature synthesis, case exemplars, antecedents, consequences, and empirical referents. This review followed PRISMA (2020) reporting guidelines. Results: Four defining attributes of ambiguous loss among aging migrants were identified: (a) physical, social, and emotional loss; (b) displacement and loss of homeland; (c) erosion of social identity and agency; and (d) cultural and transnational bereavement. A conceptual definition emerged, describing ambiguous loss as a multifaceted experience of disconnection, intensified by aging, illness, economic hardship, and social isolation. The analysis also highlighted antecedents such as forced migration and health decline, as well as consequences including diminished well-being, resilience challenges, and barriers to integration. Conclusions: Ambiguous loss among aging migrants is a complex construct encompassing intertwined physical, social, and cultural dimensions of loss. This conceptual clarity provides a foundation for developing culturally responsive care models that promote adaptation, resilience, and social inclusion among older migrants. Full article

Background/Objectives: Migrant youth often experience multiple, intersecting systems of oppression (e.g., racism, poverty, and discrimination) that may contribute to disparities in pediatric pain prevalence, severity, and management. However, pain in migrant youth remains poorly understood. This rapid scoping review will examine the nature and extent of the existing literature on pain among migrant youth. Methods: This protocol has been preregistered on the Open Science Framework. The review will follow guidelines for conducting and reporting rapid and scoping reviews, and will be guided by PCC (population, concept, context) and PROGRESS-Plus methodological frameworks. Electronic searches will be conducted in MEDLINE, CINAHL, and Scopus for primary research studies published since 2015 that describe and examine pain among migrant youth (age < 18 years). Two reviewers will independently screen titles, abstracts, and full texts, with disagreements resolved by consensus or a third reviewer. Data charting will be piloted on 5–10 studies, then independently conducted by two reviewers. Extracted data will include study characteristics (authors, year, purpose, methodology); participant sociodemographic information (e.g., racial and/or ethnic identity, age, sex, gender identity, sexual orientation, socioeconomic position); migration status; countries of origin and destination; definition and characteristics of pain; and measures of systemic factors (e.g., racism). Results: Findings will be synthesized descriptively and interpreted within sociocultural and geopolitical contexts to better understand pain among migrant youth. Conclusions: This review will aim to provide critical insights into the intersections between migration and pediatric pain, offering guidance for future research, clinical practice, and policy to improve pain management and outcomes for migrant youth. Full article

Today, due to the widening of the wealth gap, the intensification of climate change, and the acceleration of both population growth and population aging, our cities are being tested by multiple economic, environmental, and social challenges, including, but not limited to, urban sprawl, urban gentrification, marginalization, housing crisis, tent city, urban flooding, urban heat island, environmental migrants, urban slums, tent cities, urban aging, and empty nesters [...] Full article

This study explores how older Chinese migrants in London engage with climate change discourse using participatory co-design workshops. Although already practising sustainability behaviours such as recycling, this group faces significant barriers—particularly language difficulties and cultural differences—that limit their active participation in broader climate initiatives. The research addresses three key aspects: (1) identifying opportunities for sustainable practices within migrants’ daily routines; (2) understanding their influential roles within families and communities; and (3) examining their trusted sources and preferred channels for climate communication. Results highlight that family and community networks, combined with digital platforms (e.g., WeChat) and visually engaging materials, play essential roles in disseminating climate information. Participants expressed strong motivations rooted in intergenerational responsibility and economic benefits. The findings emphasise the necessity of inclusive and peer-led communication strategies that are attuned to older migrants’ linguistic preferences, media habits, and cultural values—underscoring their significant but often overlooked potential to meaningfully contribute to climate action. Full article

Engaging vulnerable migrants in nature-based activities demonstrates that access to green space can provide a safe place to process trauma, allowing vulnerable forced migrants to enhance their sense of subjective well-being, to breathe and to be. Framed by the feminist ethics of care concept of ‘universal care’, this qualitative study utilised semi-structured interviews, focus group discussion and participant observation to explore asylum seekers’ opportunities for giving and receiving care for people and planet in green spaces outside of institutional international protection accommodation, particularly among those who have access to community gardens. This research contributes to understanding the multigenerational benefits of green space and the potential of forms of horticultural therapy to support the health and well-being of vulnerable forced migrants of all ages. This research has implications for how care for international protection applicants could be enhanced in Ireland and elsewhere through expanding access to safe and inclusive green spaces. It provides a model of a landscape of care support mitigation of pre- and post-migration trauma and mental stress. Full article

In Italy, the debate on migrants often focuses on issues such as social integration, economic conditions, and access to services. However, a little-investigated aspect concerns the double stigmatization of LGBTQ+ migrants, a reality made invisible by both the lack of research and the strict anti-LGBTQ+ laws present in many countries of origin. This study aimed to compare homonegativity levels between first- and second-generation migrants. A quantitative approach was used, with 127 participants (age 18–55, M = 30.63, SD = 11.58) completing an anonymous online questionnaire in three different languages. The instrument included a sociodemographic form and the Italian Scale for Measuring Homonegativity. A multivariate General Linear Model (GLM) analysis revealed significant effects of generation (p < 0.001, η² = 0.688) and gender (p < 0.01, η² = 0.144), with second-generation youth and women reporting lower levels of homonegativity. Religious affiliation had a minimal impact, influencing only the perception of deviance towards gay men (p < 0.05). Interactions between factors were generally non-significant, except for gender and religion. These findings underline the importance of generational and gender differences in the formation of homonegativity and highlight the need for further research to explore the cultural and social dynamics influencing these attitudes. In addition, there is a need to further explore how experiences of discrimination influence the well-being of LGBTQ+ migrants and what resilience strategies are adopted to address the challenges of homonegativity and marginalization. Full article

Background: Loneliness and social isolation among older people are currently widespread and recognized as the foremost public health problems globally and locally. Hong Kong, which exhibits a rapid aging trend and an expanding elderly population, is inevitably facing these issues. This study explored the lived experiences of loneliness among older adults in Hong Kong. Methods: Qualitative interviews were conducted among older adults in the community aged 60 or above who were cared for by migrant domestic workers and presented varying levels of loneliness. Purposive sampling was used to select subjects for face-to-face, semi-structured individual interviews, with consent for audio recording, which led to the inclusion of 19 older adults, among whom five were male, nine lived with a spouse, and three lived with their children. Interpretative phenomenological analysis was adopted. Results: We identified a core theme, “Should I stay at home alone?”, and the following four interrelated themes: (1) experience of inadequate social support and networks, (2) altered family dynamics and support, (3) deterioration in physical functions and mobility limitations, and (4) experience of negative and complex emotions. Conclusions: Based on our investigation into the lived experience of loneliness among older adults locally, we recommend that the government, non-governmental organizations, and healthcare institutions establish appropriate strategies and integrated services to address the social, physical, familial, and emotional issues in this population to foster healthy aging, improve their quality of life, and encourage support from families and communities. Full article