Search Results (46)

This study examines the trends, impacts, and challenges of HIV in Bangladesh from 2000 to 2024, with a focus on its epidemiology, demographic distribution, and socioeconomic determinants. Despite maintaining one of the lowest HIV prevalence rates globally (<0.1%), Bangladesh faces a concentrated epidemic among high-risk populations, including people who inject drugs (PWID), men who have sex with men (MSM), sex workers, transgender individuals, and migrant workers. Analysis reveals a steady increase in reported infections, attributed to enhanced diagnostic capacities and public awareness. The 25–49 year age group remains the most affected, accounting for over 65% of cases, underscoring the vulnerability of the economically active population. Gender disparities persist, with males representing the majority of infections but lower ART coverage among females and transgender individuals. While interventions such as PMTCT programs, ART expansion, and targeted awareness campaigns have contributed to improved outcomes, barriers such as stigma, healthcare inequities, and limited rural access hinder progress. The study also evaluates Bangladesh’s progress toward the 95-95-95 targets, highlighting significant strides in treatment and viral suppression but gaps in diagnosis. Future research must address behavioral trends, stigma reduction, and integration of HIV services for marginalized populations. This paper emphasizes the need for evidence-based strategies to ensure equitable healthcare delivery and sustainable progress in combating HIV. Full article

Groundwater is a critical drinking water source in arid regions globally, where reliance on groundwater is highest. However, disparities in groundwater availability, access, and quality pose challenges to water security. This case study employs geostatistical tools, multivariate regression, and clustering analysis to examine the intersection of groundwater level changes (availability), socioeconomic and regulatory factors (access), and nitrate and arsenic contamination (quality) across 1881 groundwater-supplied drinking water service areas in Arizona. Groundwater availability declined over 20-year and 10-year periods, particularly outside designated management areas, with mean annual decline rates ranging from −15.97 to −0.003 m/year. In contrast, increases (0.003 to 13.41 m/year) were concentrated in urban and managed areas. Karst aquifers show long-term resilience but short-term vulnerability. Non-designated areas exhibit mixed effects, reflecting variable management effectiveness. Disparities in groundwater access emerge along various socioeconomic and regulatory lines. Communities with higher Black populations are twice as likely (OR = 2.01, p < 0.001) to experience groundwater declines, while Hispanic/Latino communities have lower depletion risks (OR = 0.92, p < 0.001). Tribal oversight significantly reduces groundwater decline risk (OR = 0.62, p < 0.001), whereas state–primacy areas show mixed effects. Higher female populations correlate with increased groundwater declines, while older populations (65+) experience greater stability. Married-family households and institutional housing are associated with greater declines. Migrant worker housing shows protective effects in long-term models. Rising groundwater levels are associated with higher nitrate and arsenic detection, reinforcing recharge-driven contaminant mobilization. Nitrate exceedance (OR = 1.05) responds more to short-term groundwater changes, while arsenic exceedance persists over longer timescales (OR = 1.01–1.05), reflecting their distinct hydrogeochemical behaviors. Community water systems show higher pollutant detection rates than domestic well areas, suggesting monitoring and infrastructure differences influence contamination patterns. Tribal primacy areas experience lower groundwater declines but show mixed effects on water quality, with reduced nitrate exceedance probabilities; yet they show variable arsenic contamination patterns, suggesting that governance influences availability and contamination dynamics. These findings advance groundwater sustainability research by quantifying disparities across multiple timescales and socio-hydrogeological drivers of groundwater vulnerability. The results underscore the need for expanded managed aquifer recharge, targeted regulatory interventions, and strengthened Tribal water governance to reduce inequities in availability, access, and contamination risk to support equitable and sustainable groundwater management. Full article

Employing a social support perspective allows us to examine the experiences of migrant women in assembly lines using WeChat to explore the relationship between social support and their subjective well-being. Th paper takes advantage of the digital ethnography method to investigate Chinese rural–urban women using WeChat in Tianjin, China. Utilizing a snowball sampling approach to search for 47 interviewees, this study conducted in-depth face-to-face interviews. The research discovered that activities organized by companies, digital information, and virtual communication, to some extent, provide Chinese migrant women with social support, consequently positively influencing their subjective well-being. It is undeniable that the use of WeChat seems to conceal the inequality, imbalance, and many other issues behind this phenomenon. Even so, this discovery will help researchers investigate migrant women’s urban inclusion and mental health in the future. Full article

The COVID-19 pandemic placed significant strains on daily life, particularly affecting vulnerable groups such as rural-to-urban young migrant workers. Based on General Strain Theory (GST), these pandemic-related strains lead to delinquent copings, including excessive Internet use. However, the association between pandemic-related challenges faced by migrant youth and their digital copings has yet to be investigated. GST also posits that some conditioning factors, such as conventional beliefs, internal resilience and life satisfaction, might serve as protective factors, which can help to alleviate the disruptive consequences of the pandemic-related strains. Utilizing the fourth sweep of International Self-Report Delinquency Survey (ISRD4) in China comprising 769 working migrant adolescents aged 16 to 19, who did not attend high school, the present study examines variations in pandemic-related strains, frequent use of the Internet for gaming and social media, and their associations. In addition, this study investigates the moderating effect of three protective factors: conventional beliefs, internal resilience and life satisfaction. Results indicated that economic strain, information strain and health-related strain significantly influenced digital coping strategies, with notable gender differences. Conventional beliefs served as a significant moderator for males, while life satisfaction played a more significant moderating role for females. Relevant policy implications are then discussed. Full article

The recent enhancement of working conditions and social security for domestic service workers in Spain has enabled the integration of this group of female workers into the same legal framework as other employees. Despite the progress already made and the optimistic forecast that the ratification of Convention 189 in 2022 has opened, domestic workers continue to be one of the groups that suffer the most precariousness in Spain. Added to the laxity of the implementation of legislation is the strong presence of the underground economy and a care management model that facilitates the expansion of the deregulated market and the recruitment of irregular migrant women to occupy these precarious labor niches (live-in domestic workers). This article aims to identify the impact of psychosocial working conditions on the physical and mental health of female migrants who are live-in domestic workers in Madrid and Barcelona, Spain. The research employs semi-structured, in-depth interviews to understand the representations and experiences in migrant women’s health, by unveiling the meanings of their experiences through a thematic content analysis. The study concludes with a reflection on which psychosocial, legislative, and policy-level interventions are needed to improve the health and well-being of this population of migrant women. Full article

Objective: Ensuring the sustainability of the migrant workforce requires a comprehensive understanding of the psychological challenges faced by this sub-population due to concerns about the wellbeing and financial situation of family members in their home countries. Therefore, this study investigates the factors associated with psychological distress among sub-Saharan Africa (SSA) migrant workers across Australia and Canada during the COVID-19 pandemic. Method: Data were collected from 378 first-generation migrant workers with SSA ancestry residing in Australia and Canada using the Depression Anxiety and Stress Scale 21 (DASS-21). Multivariate logistic regression analysis was used to determine socio-demographic factors associated with depression, anxiety, and stress among SSA migrants’ populations. Results: Across both countries, migrants with lower levels of education were more prone to reporting feelings of depression, anxiety, and stress during the pandemic. Female participants in Australia were more likely to report feeling of depression. Participants in Australia and Canada who were separated/divorced/widowed were less likely to report stress and depression, respectively. Participants in Australia who had lived in Australia between 11 and 20 years and those between 36 and 50 years old were more likely to report feelings of depression. Participants residing in Australia whose SSA ancestry was Southern Africa/Central Africa were more likely to report anxiety. Participants in Australia who worked as part-time permanent workers and those who worked as fixed-term workers/short-term/casual workers were less likely to report anxiety. Finally, participants in Canada who reported two or more people living with them had higher odds of reporting anxiety. Conclusions: The findings from this study highlight key factors associated with SSA migrant workers’ psychological distress during the pandemic. The results can inform policies and provide insight to the development of mental health intervention strategies for migrant workers to minimize similar distress during pandemics. Full article

Central Americans living in Mexico remain a small group (100 thousand) relative to the size of the Mexican population. However, they experienced accelerated growth between 2000 and 2020, with Guatemalans as the largest group and Hondurans as the most dynamic one. The previous literature has found a positive and significant, albeit decreasing, income advantage of Central American workers in Mexico. Meanwhile, the percentage of migrant women reported as spouses has gone down and the female labor force has increased. The paper uses information from the 2000, 2010, and 2020 Mexican censuses as well as the 2015 Intercensal Survey to compare access to the labor market for men and women from Guatemala, El Salvador, and Honduras residing in Mexico. We compare marital status, female labor force participation, main economic sectors, human capital, and income levels of the men and women of each of the three nationalities considered, seeking to identify from a gender perspective the differentiated labor performance of each nationality. Full article

Migrants of non-European origin tend to suffer more from diabetes, obesity and other chronic ailments compared to the native population. A group of female Turkish migrants in ill health, living in Denmark, were invited to join a session of eleven weekly meetings in natural surroundings, including yoga, bonfires and gathering fruits and herbs. The women were invited to suggest activities, and every meeting included dialogues focusing on their everyday life, interests and experiences. Two PAR researchers facilitated the meetings together with an interpreter. This article presents the methods and results of this PAR research and discusses the methodological ethnographic balance between approaching the migrants’ weaknesses in terms of their illness and migratory challenges on the one hand and, on the other, their transnational resources as workers, household keepers and kin keepers. Full article

Since the outbreak of COVID-19, as reported by the WHO in December 2019 and subsequently declared a public health emergency of international concern, a distinct set of risk factors and vulnerabilities faced by migrants are affecting their exposure to the pandemic and its associated outcomes. This study aims to analyze the social determinants of health among migrants and their associated factors and compare the socio-demographic characteristics, patterns of COVID-19, and healthcare attendance and utilization among migrant workers and non-migrants. A descriptive study design was used to analyze COVID-19 morbidity among migrant workers. There were a total of 73,762 migrants living in the province by December 2021, with varied statuses and nationalities. Most of the migrants were from Myanmar, constituting about 80.1%. A total of 24,837 COVID-19 cases in Kanchanaburi province were recorded in 2020–2021. COVID-19 cases among migrant workers accounted for 22.3% during the period under review. Half, 2914 (52.7%) of the migrant female workers were victims of COVID-19 infections. Persons under the age of 18 accounted for about one-fifth of all the COVID-19 cases. Older, over 60 years old, Thais had about twice (10.1%) the COVID-19 cases compared with the older migrants (5.5%). There was a significant increase in healthcare attendance and utilization by non-migrants and migrants during the year under review. Migrants are at high risk of COVID-19 infection. Therefore, public health guidance for the prevention of COVID-19 should prioritize safeguarding the health of migrants by considering their individual characteristics and actions. Enhancing health insurance schemes for migrants, particularly vulnerable migrant groups, is critical for inclusive and expanded healthcare access. Physical, social, and economic environments that impact the health and well-being of migrants should be integral to pandemic prevention, preparedness, response, and recovery. Full article

By analysing the childcaring experiences of female skilled workers from South Korea (hereafter, Korea) in Germany, this paper maintains that the challenges in labour market participation for highly skilled women, and especially those with children, should be understood in the context of their encounters with similar and different care and employment regimes between their home and host countries. On the theoretical level, this research confirms the argument that the migration of highly skilled workers should be contextualized not from a neoclassical perspective in which the maximization of economic profits takes priority, but from an institutional point of view in which social and cultural norms, practices, and policies in both the home and host societies are taken into consideration. Specifically, through a series of in-depth interviews conducted with skilled female migrants from Korea, this paper highlights the significance of taking the function of similar and different caring and employment regimes into account in explaining the challenges faced by highly skilled migrant women in labour market participation. On the empirical level, this paper sheds light on the migration experiences of skilled women from Asia as well as the (dis)integration processes of newcomers from third-national countries in Germany, with a focus on female migrants from Korea. Full article

Young migrant women workers frequently experience disparities in accessing health services, including sexual and reproductive health (SRH) services, especially in urban settings. This study assesses the barriers and utilization of SRH services and explores factors associated with the utilization of these services among young female migrant workers working in the industrial zone (IZ) in Vietnam. A cross-sectional survey was conducted among 1061 young women migrant workers working in an IZ in Hanoi, Vietnam. Multivariable logistic regression analysis was used to identify factors associated with utilization of SRH services. Nearly 35% of the participants reported using SRH services at least once since working in the IZ. Additionally, around 78% of the participants reported using a contraceptive method during their last sexual encounter. The study also found that older participants (25–29 years old) were nearly two times more likely to use SRH services than younger participants (18–24 years old) (OR = 1.91, 95% CI: 1.19–3.06). Married participants had nearly six times higher odds of using SRH services compared to single participants (OR = 5.98, 95% CI: 3.71–9.63), and participants with higher incomes were more likely to use SRH services (OR = 1.02, 95% CI: 1.01–1.04). The most commonly reported barriers to access SRH services were inconvenient hours of service operation (26.2%), followed by long distance from the service location (9.2%) and high service cost (5.2%). This study found a low level of SRH service utilization and identified several barriers to accessing these services among the study participants. The study findings provide important evidence insights for policymakers and program managers to develop and implement policies that help reduce barriers and enhance the provision of SRH services tailored to the needs of IZ married and unmarried women migrant workers in the IZ in rapidly developing and urbanizing countries like Vietnam and other low- and middle-income countries with similar contexts. Full article

Since the reform and opening up, the socioeconomic status of women in rural China has risen rapidly. However, unlike men, women have not been able to earn higher wages by “working in all directions”. Based on the interview data of 2064 migrant workers, this paper explores the nonlinear interaction of individual characteristics and urban geographic factors with gender differences in migrant workers’ wages with the help of random forest regression models. The results show the following: (1) migrant workers’ wages show obvious gender differences in different dimensions, but in general, men’s wages are higher than women’s wages; (2) there are also gender differences in the influencing factors of migrant workers’ wages. Work experience is more important for male migrant workers’ wages, age is more important for female migrant workers’ wages, and there is a variable effect of each factor on migrant workers’ wages. This paper is of great help in understanding the travel trajectories of migrant workers and gender differences in wages and holds reference value for guiding migrant workers in choosing jobs and places and increasing their income. Full article

This study investigated the prevalence of and factors associated with behavioral intention to take up any type of HIV testing and HIV self-testing (HIVST) in the next six months among male migrant workers, who were at high risk of HIV infection, in Shenzhen, China. This was a secondary data analysis. A total of 363 subjects who had sexual intercourse with non-regular female sex partners and/or female sex workers in the past six months were selected. Logistic regression models were fitted for data analysis. About 16.5% of participants reported having used HIV testing in their lifetime and 12.7% for HIVST. Among the participants, 25.6% and 23.7% intended to take up any type of HIV testing and HIVST in the next six months, respectively. Significant factors associated with the behavioral intention to take up HIV testing and HIVST included individual-level factors based of the Health Belief Model (e.g., perceived benefit, perceived cue to action, perceived self-efficacy) and interpersonal-level factors (e.g., frequency of exposure to health-related content or HIV and STI-related content on short video apps). This study provided practical implications for designing interventions to increase the uptake of HIV testing and HIVST among migrant workers. Full article

Undocumented migrant sex-workers (SW) are vulnerable to Sexually Transmitted Infections (STIs). However, data regarding prevalence and linkage-to-care are lacking. Defining epidemiology is crucial to implement preventive measures. We report data from SW attending a facility for migrants in Piacenza, Italy. We collected medical records from 1999 until 2021. Quantitative variables were summarized as mean and standard deviation (SD), and qualitative ones by absolute and relative frequencies. Logistic regression analysis was performed to assess the relationship between sociodemographic, clinical variables, positive testing, and loss to follow-up (LFU). Overall, 1035 STI episodes were collected, 917 in cisgender-females (CF), and 118 in transgender-females (TF). Overall, 474 diagnoses were made. Three-hundred-ninety-two/474 (82.7%) started therapy, and 264/474 (55.7%) complied with a follow-up. Only 51.5% of HBV and 30.8% of HIV were linked to care. Having symptoms (OR 1.70 (95% CI 1.06–2.73), p = 0.028) and previous STIs (OR 1.36 (95% CI 1.04–1.77), p = 0.022) were associated with a higher chance of STIs, while at-risk intercourse to lower risk (OR 0.19 (95% CI 0.07–0.49), p = 0.001). TF had higher odds of bloodborne infections and syphilis (OR 2.61 (95% CI 1.17–5.80), p = 0.019). Regarding follow-up, the older the patient, the higher the LFU (OR 1.05 (95% CI 1.01–1.10), p = 0.021). Our data showed a high prevalence of STIs and LFU among undocumented SW. TF are even more vulnerable. Further efforts should be put into targeted interventions. Full article

This research article presents an empirical model that takes economic vulnerability into consideration to measure and address the phenomenon of precarious work and precariousness. In order to achieve this, three satisfactory indicators were formulated, consisting of both individual and institutional levels and taking into account the country-specific relationships among the variables, depending on country-specific conditions. Based on this, the choice of homeownership is introduced instead of the eligibility for employment benefits. In this way, precarity has been examined as a condition in which precariousness and economic vulnerability intersect and interact. In Cyprus, 9.5% of the workers in Cyprus were classified as precarious, while 4.4% were classified as being in precarity (i.e., precarious and economically vulnerable). The empirical findings revealed that precariousness was related to gender, migration, and the employment sector, which is consistent with the well-known literature. One of the most noteworthy findings was the high number of female migrant domestic workers in Cyprus. In this study, new variables and novel empirical approaches were introduced into the discussion of precarious work and precariousness, which may eventually lead to new theoretical and policy avenues for reducing or eliminating this phenomenon. Full article