Search Results (468)

Globally, cis and trans women face increasing rates of HIV, yet the uptake of existing HIV prevention medications often fails to meet their specific needs. This review examines HIV pre-exposure prophylaxis (PrEP) use among cis and trans women, including adolescent girls and young women; newcomers and migrants; sex workers; women who use drugs; and women who have been incarcerated, acknowledging intersectionality exists between these groups. A review of peer-reviewed published literature was conducted, and findings specifically on oral PrEP were synthesized. This review highlights several key themes shaping women’s engagement with PrEP, including barriers to initiation and discontinuation; public health messaging and promotion; the role of women’s networks; intimate partner violence; interpersonal trust in relationships; and “seasons of risk,” where temporary reductions in perceived risk may lead to discontinuation. Additional themes include preferred access points for PrEP, regional differences, and clinical implications for practice. Peer support and peer navigators emerge as important mechanisms for creating safe spaces that enhance trust and sustained PrEP use. Improving PrEP uptake and persistence among women requires a multifaceted, women-centred approach that addresses clinical, social, and structural barriers. Context-specific implementation remains critical to addressing diverse lived realities and strengthening HIV prevention outcomes globally. Full article

Central European, especially the Hungarian and Polish experiences, reveal a profound paradox, anti-immigration policy narratives, yet immigration laws and policies support reliance on migrant workforce (non-EU migrants). The question arises: why is that? The aim of this research is to examine the ways in which Poland and Hungary have managed the challenges of labor migration in the region, arising from the demographic crisis and labor shortages in the region. The research will use a socio-legal approach in the analysis of the changes in the laws of the two countries, government strategies, statistics, and political discourse in the period from 2023 to 2025. The assessment of the two countries will reveal a contrast in the political narrative and the implementation of the laws. Hungary maintains a narrative of strict migration and quotas, while at the same time liberalizing economic migration. Poland, on the contrary, has adopted a liberal yet selective migration strategy in the new laws that incorporate digital administrative tools, integration, and a points system for economic migrants. The research will reveal that both countries have moved from being net emigration countries to being net immigration countries, despite the political narrative. The research will conclude that the migration policies of the two countries have been influenced by the need to address the structural labor shortages in the region and not political ideologies. Experiences in Central Europe, specifically those of Hungary and Poland, show a unique contradiction of having anti-immigration politics and legislation providing for easier access to the countries’ borders to non-EU workers to solve problems of labor shortages. This paper will discuss the approaches of these two countries to dealing with labor migration in light of declining populations and increased need for migrant workers. Comparative socio-legal research is conducted in the course of this project, where recent legislative amendments, policies, statistics, and political discourse in relation to labor migration are reviewed within the period from 2023 to 2025. The research shows that while maintaining its conservative and securitized narrative, Hungary makes some concessions for economic migration through specific legal channels. Meanwhile, Poland has managed to build up an open and selective approach by combining labor market demands with digitization and points-based policy making. The results suggest that both nations operate in an environment of net immigration despite their official rhetoric implying otherwise. In conclusion, policies towards labor migration in Central Europe remain economic in nature, which produces contradiction between politics and reality. Full article

This concept paper advances stigma power as a central analytical mechanism for understanding how patriarchy, capitalism, white supremacy, and cis-heteronormativity operate with particular intensity against sex workers. Integrating Link and Phelan’s stigma power with Bourdieu’s symbolic violence and Foucauldian productive power, the framework theorises stigma as a mechanism institutionalised through law and enforced by institutions, which produces measurable consequences that include violence, exclusion, and health harms. Analysing the intersecting axes of gender, sexuality, race, migration, and class across three qualitative studies (SWMH, SEXHUM, VICSW), the article demonstrates why labour-rights reforms, including decriminalisation, are necessary but insufficient. Dismantling stigma requires not only removing sanctions but actively contesting the actors exercising stigma power and interrupting the stabilising mechanisms that reproduce it. This requires policy that acknowledges stigma’s existence whilst working to dismantle it, rather than eliding its reality through liberal mainstreaming or strengthening it through criminalisation or rescue frameworks. The framework explains why decriminalisation is associated with better access to rights and health; why all criminalisation including the so-called Swedish model correlates with increased violence; why stigma persists under optimal legal conditions; and how intersecting marginalisations produce differential vulnerability. Policy implications emphasise pairing decriminalisation with peer-led anti-stigma work, institutional reform, migrant rights, and funded support for sex worker self-organisation. Full article

Despite increasing academic interest in return migration, limited understanding remains of how individual resources, workplace experiences, and perceptions of the origin country interact to shape return migration intention among migrant workers in major industrial destinations. This study investigates return migration intention among Myanmar migrant workers in Samut Sakhon Province, Thailand, using a multilevel framework that links micro-level individual and household characteristics, meso-level workplace and social experiences, and macro-level assessments of conditions in Myanmar. A quantitative research design was employed, with data collected from 506 Myanmar migrant workers using proportional stratified random sampling. The data were analyzed using descriptive statistics, chi-square tests, t-tests, and binary logistic regression. The results indicate that the majority of respondents did not intend to return to Myanmar within the next 10–15 years. Workplace discrimination emerged as the strongest positive predictor of return migration intention, while higher income and annual remittance behavior also increased the likelihood of intending to return. Conversely, having family in Thailand, perceived opportunities for job change or promotion, satisfaction with wages and welfare, and perceived safety in Myanmar reduced the likelihood of return migration intention. The findings suggest that future mobility plans cannot be explained solely by economic calculation. They are also shaped by family arrangements, workplace treatment, and migrants’ assessments of the feasibility and desirability of return. The study advances return migration scholarship by demonstrating the pivotal role of workplace discrimination within a multilevel explanation of return migration intention. Full article

Enhancing the willingness of rural–urban migrant workers (RUMs) to pursue the withdrawal of rural homesteads is a key measure to deepen the reform of the rural land system and advance new-type urbanization. This study aims to examine the impact of trade union participation on RUMs’ willingness to withdraw from rural homesteads (WFRH). It further offers implications for improving trade union services and refining relevant institutional arrangements for homestead withdrawal. Based on valid questionnaire data from 1949 RUMs in Hefei, Anhui Province, China, analytical methods, including the ordered Probit model, Propensity Score Matching (PSM), and KHB model, are adopted for empirical analysis. The main conclusions are as follows: trade union participation significantly enhances RUMs’ willingness to WFRH. This conclusion remains robust after the replacement of explained variables, adjustment of econometric models, and use of the PSM method to correct for selection bias. Heterogeneity analysis based on an ordered probit model reveals that the impact of trade union participation on homestead withdrawal willingness is more pronounced among females, individuals under 45 years old, and those with a college degree or above. Mediation effect test based on the KHB model finds that urban identity and sense of social fairness play mediating roles between trade union participation and RUMs’ homestead withdrawal willingness. Trade union participation improves their withdrawal willingness by strengthening their urban identity and sense of social equity. Efforts should be made to enhance the willingness of RUMs to withdraw from homesteads by improving the service function system of “capacity cultivation + rights protection + emotional connection” of trade unions, expanding the effective coverage of trade union organizations, promoting the collaborative linkage between “trade unions and governments”, and strengthening the full process service support for homestead withdrawal. The study conclusions help optimize the allocation of rural land resources and advance the integration of urban and rural development. Full article

Although Non-Wood Forest Products can offer interesting economic opportunities for rural communities, little is known about their commercial harvesters. Our work aims to shed light on the labour profiles, their accessibility to new entrants, and attractiveness for future green jobs. Through in-depth interviews, we explored the five-capitals profile of commercial resin, cork, mastic foliage, chestnut, pine nut, and wild mushroom harvesters in Spain. We found either freelance harvesters or entrepreneurs with a small gang. Our data show a typical male collector, who started the activity through his social networks (Social Capital), and whose origin depends on the product and Spanish region. Some commercial female harvesters were found in mushroom, chestnut and resin harvesting. Social constructs around the masculinization of these activities may explain their limited attractiveness for women. The ratio of non-Spanish commercial harvesters correlates with the weight of migrants in the analysed regions. Only a subgroup of resin harvesters devotes most of their year to this single activity. The rest complement NWFP income with a main forestry (cork and pinenut) or non-forestry occupation (mushroom, chestnut and mastic). For the latter products, access to Natural Capital was found to be crucial for job progress, as non-landowners require administrative and/or negotiation capacities to secure harvesting permits. Human Capital differs across NWFPs, from simpler skills such as recognising marketable produce and handling easy tools (mushroom, chestnuts, pine nut ground gathering and mastic), to complex abilities needed to balance efficiency with minimising tree damage (in resin tapping, pinenut shaking, and cork extraction). Such specialised tools and machinery (Built Capital) typically act as a barrier to entry and advancement. These profiles are expected to help decision-makers to design instruments promoting and regulating commercial harvesting, and tackle their risks: local landowners in allocating harvesting rights to external collectors; regional policymakers as competent authorities in forest legislation; and state-level administration concerning cultural, fiscal and labour-permit aspects. Full article

Background: The COVID-19 pandemic triggered unprecedented mobility disruptions worldwide as governments imposed strict lockdowns to contain the spread of the virus. In India, prolonged restrictions severely affected economic activity, particularly for migrant workers, leading to a large-scale and unplanned exodus from urban employment centres to native places. This sudden population movement undermined containment efforts and contributed to the spatial diffusion of infections. Understanding evacuees’ behavioural responses during such crises is therefore critical for effective emergency logistics and evacuation planning. Methods: This study examines the determinants of transport mode and shelter choice decisions made by migrants during the COVID-19-induced evacuation in India. Using primary survey data, a multinomial logistic regression model is developed to analyze how socio-economic characteristics influence evacuees’ choices of travel mode and shelter type. Results: The results reveal significant heterogeneity in decision-making, highlighting the role of economic vulnerability and accessibility constraints in shaping evacuation behaviour. Conclusions: The findings offer actionable insights for policymakers and emergency planners to design inclusive evacuation strategies, improve crisis-responsive transportation planning, and enhance shelter provisioning in future pandemics or large-scale disruptions. The study contributes to the logistics and humanitarian operations literature by providing empirical evidence on evacuation behaviour under public health emergencies. Full article

This article investigates the housing precarity of EU migrant workers in the Dutch–German border region, focusing on the Venlo Greenport area. Drawing on documentary analysis, 28 interviews, field observations, and stakeholder engagement, it explores how local governance, market dynamics, and framing practices shape housing outcomes. While EU law guarantees free movement, housing remains excluded from the EU rights frameworks, leaving workers dependent on employer-linked or agency-controlled short-stay facilities. These arrangements—often overcrowded, surveilled, and formally temporary—become long-term solutions, producing what we term short-stay sedentarism: prolonged residence in housing designed to deny permanence. The study conceptualises the local “battleground” where municipalities, employers, housing providers, NGOs, and residents negotiate competing interests. Seven interpretive frames—nuisance/disorder, cowboys, human rights, NIMBY, shadow power, integration, and unwanted accumulation—structure these debates, legitimising certain strategies while obscuring structural deficiencies. Findings reveal that certification and enforcement, while intended to improve standards, often entrench precariousness by sustaining the short-stay model. Emerging integration-oriented policies signal a shift but remain fragile amid economic imperatives and spatial constraints. The paper argues that addressing housing precarity requires structural reforms: expanding access to regular housing, reducing employer dependency, and recognising migrant workers as long-term residents rather than temporary labour inputs. Full article

A growing body of research characterizes contemporary global neoliberal hegemony through the lens of racial capitalism—a framework that traces the connections between colonial exploitation, slavery, and the foundations of economic growth, linking these histories to the expanding migrant precariat across Western societies today. Largely unexplored is how gender influences job conditions, alternatives, and forms of collective organization among migrant workers at the bottom strata of the labor market. Using the case of Spain, a country whose immigration history is closely linked to the expansion of precarious labor markets, we conducted our research in Barcelona, a hub in terms of migrant labor, collective agency and migrants’ rights struggles. We apply an intersectional lens to compare job conditions and collective action strategies of female and male migrant workers in two sectors: domestic and construction work, respectively. Both are strongly gendered, ethnically stratified, and highly informal. Many of the workers live in a daily reality marked by racism and exploitation, and we find that while there are important gender-related differences shaping the workers’ alternatives and forms of collective agency, their shared condition as racialized, poor migrants entails more commonalities than differences in terms of the role they fill in a late capitalist economy and the alternatives they have for change. Full article

Migrant workers are a unique group under China’s urban–rural dual system, and improving their well-being is an intrinsic requirement for achieving common prosperity. In recent years, human–robot collaboration has come forth as a novel work paradigm. Comprehending the influence of human–robot collaboration on the well-being of migrant workers is a vital yet insufficiently investigated matter. With the conservation of resources theory as an analytical framework, this study empirically analyzes data from a two-stage survey of 382 migrant workers in Chinese manufacturing enterprises. The findings suggest that perceived human–robot collaboration can positively influence migrant workers’ well-being by facilitating perceived decent work, while also negatively affecting their well-being by increasing job replacement anxiety. Perceived organizational support plays a positive moderating role in two distinct aspects: on the one hand, the relationship between perceived human–robot collaboration and perceived decent work; on the other hand, the mediating effect through which perceived decent work connects perceived human–robot collaboration with the well-being of migrant workers. Conversely, perceived organizational support exerts a negative moderating effect on the association between perceived human–robot collaboration and job replacement anxiety, while job replacement anxiety functions as a mediator in the relationship linking perceived human–robot collaboration to migrant workers’ well-being. This study helps understand how human–robot collaboration in manufacturing enterprises affects the well-being of migrant workers. Full article

While return migrant workers (RMWs) are increasingly viewed as key to rural development, their specific impact on grain production remains ambiguous. Clarifying this role is critical to manage the dual nature of their reintegration—leveraging valuable resources and knowledge while addressing complex reintegration challenges—to ensure national food security and advance agricultural modernization. Drawing on data from the 2018 China Labor-force Dynamics Survey (CLDS), this study explicitly tests the hypothesis that migration experience significantly reduces the likelihood that RMW households engage in grain production. The empirical results from probit models support this hypothesis, and this finding is robust across multiple specifications. Further analysis shows that migration experience significantly reduces land cultivation scales—especially among larger producers—and increases land abandonment. Additionally, it inhibits technology adoption or invest in agricultural technology. These results suggest that migration experience may weaken, rather than enhance, RMWs’ commitment to grain production, challenging the policy expectation that they can lead agricultural transformation. The study calls for more nuanced policy interventions that account for the structural constraints facing RMW households and their limited contribution to large-scale, efficient grain farming. Full article

Background: This study aims to examine the level of awareness, attitudes (including stigma and discrimination), and behaviors related to tuberculosis among the population of the Republic of Kazakhstan to identify priorities for raising awareness and reducing stigma. Methods: The study interviewed 2400 people from six regions of Kazakhstan using stratified random sampling based on gender and age. Respondents were chosen from cities and villages, including RK citizens over 18 who could answer questions. Additionally, 400 people with HIV, 200 drug users, 200 internal migrants, and 500 health workers were interviewed. Recruitment was done through profile organizations and the snowball method, with all participants giving informed consent. Results: The study showed different levels of knowledge about tuberculosis (TB) in Kazakhstan. Radiography was the most commonly known detection method (71–91%). Awareness of sputum testing was highest among drug users (84%) and HIV patients (77%), but lower among internal migrants (39%). Internal migrants had the most uncertainty about TB tests (17%). Stigmatizing views of TB patients existed, with 28–38% believing most people reject them. Among healthcare workers, only 38. 8% correctly identified the G-Xpert test for TB and rifampicin resistance, and over one-third misunderstood the Mantoux test’s purpose. Conclusions: The findings show a need for focused educational efforts to boost TB awareness and lessen stigma, especially among internal migrants and the general public. Vulnerable groups, like PLHIV and PWUD, have higher awareness but still encounter major barriers. Improving healthcare workers’ knowledge about TB diagnostics is also crucial. Specific communication strategies and policies are needed to improve TB detection, reduce social stigma, and improve healthcare access for at-risk groups in Kazakhstan. Full article

Against the backdrop of rapid development in megacities, urban park green spaces serve as essential public resources whose accessibility and equity directly affect residents’ quality of life and broader social justice. This study addresses the imbalance between the spatial distribution of green space resources and the socio-demographic characteristics of different population groups in megacities. It takes the six central districts of Beijing as the study area and integrates data from 457 urban parks. The research applies the Gaussian two-step floating catchment area (G2SFCA) method and bivariate spatial autocorrelation analysis (Moran’s I) to systematically evaluate the equity of urban park green space provision across multiple social dimensions, including economic status, educational attainment, and vulnerable groups. The results indicate that urban park green spaces in Beijing’s six central districts exhibit a pronounced central and northern advantage, with significant deficits in southern and peripheral areas. High accessibility and greater per capita green space are concentrated in core and high-housing-price districts, overlapping with high-income and highly educated populations. In contrast, vulnerable groups and migrant workers are more likely to reside in green-space-deficient areas, facing a structural “high population density–low green space provision” disadvantage, reflecting clear social inequities. In addition, inequity is more pronounced at the walking scale than at the cycling scale. The study reveals a dual mismatch in green space provision across both spatial and social dimensions within a megacity context. The findings suggest that future urban planning should shift from quantitative expansion to the optimization of existing green space resources. Planning strategies should prioritize vulnerable groups and adopt a people-oriented approach. Policymakers should allocate greater support to southern and peripheral areas, increase the provision of pocket parks, and improve slow-mobility systems. These measures can more precisely safeguard equitable access to green space for disadvantaged populations and promote the realization of spatial justice. Full article

Objective: This study evaluates the pre–post changes in dental knowledge, attitudes, skills, and behaviors following a community health worker (CHW)-led intervention. Methods: Adult caregivers from migrant worker families living near the United States–Mexico border participated in the five-week, in-person, CHW-led intervention program. The two-hour once/week interactive sessions were held in Spanish and included oral health education, skill-building, and goal-setting. Participants completed pre- and post-surveys about dental knowledge, attitudes, skills, and oral hygiene behaviors (N = 117). Participants self-reported frequency of brushing and flossing in the prior week, which was dichotomized to reflect meeting the American Dental Association (ADA) guidelines of brushing twice/day and flossing once/day. Mean group comparisons and paired t-tests were conducted to assess pre- and post-intervention differences. Intervention feedback was also evaluated. Results: Pre-intervention, most adults met hygiene guidelines, and in the overall sample, there were no significant differences post-intervention. However, there were meaningful behavior change differences observed among subgroups not meeting ADA guidelines at baseline. Among the 32% of adults who did not meet ADA brushing guidelines and the 61% that did not meet ADA flossing guidelines at baseline, there were significant improvements post-intervention and increased weekly frequency for brushing (p < 0.001) and flossing (p < 0.001). Pre-intervention, 30% reported not being taught to properly brush or floss; post-intervention, only 3% reported not being taught this skill (p < 0.001). Knowledge (p < 0.001) and some attitudes, including self-efficacy (p < 0.001), significantly increased post-intervention. Program feedback from participants and CHWs was positive, and 81% of participants shared materials. Conclusions: After the CHW-led intervention, there were increases in the adults’ self-reported dental knowledge, some attitudes, and hygiene skills. Toothbrushing and flossing frequency increased post-intervention among the subgroups of adults that were not already meeting ADA guidelines at baseline. Full article

Background and Aims: Changes in hepatitis delta virus (HDV) epidemiology have been highlighted recently in the context of increasing worldwide migrations. The lack of comprehensive real-world data on HDV in the Valencia region highlights the need for a structured registry to accurately estimate disease prevalence and burden and to generate robust real-world evidence on clinical outcomes and therapeutic effectiveness. We aimed to better understand the barriers for successful HDV patient care in our region by establishing a registry as well as linking previously under-recognized or lost to follow-up (FU)cases to care. Methods: After a search of all possible HDV cases in a Spanish region, attempts were made (through letters and phone calls) to relink to care those lost to FU. Two approaches were undertaken: (i) search of the Microbiology Labs Database, and (ii) clinical chart review from adult patients attending the Hepatology or Infectious Disease (ID) Units outpatient clinics of the three participant hospitals between January 2011 and June 2021. Results: Only one third of anti-HDV positive patients without adequate clinical management could be successfully linked or re-linked to care, highlighting a substantial gap in follow-up. Among 243 HDV cases detected (7.5% of HBsAg-positive patients), 111 belonged to the hospitals’ health department, and after excluding deceased or transplanted individuals, the final study cohort consisted of 84 patients. Of these, 27.4% were adequately followed in Hepatology or Infectious Disease Clinics, 11.9% had been inadequately followed recently, 45.2% had been lost to follow-up for several years, and 15.5% had never been evaluated in outpatient clinics. Overall, only a third of the patients without adequate clinical management could be successfully linked/relinked to care. Conclusions: In our setting, only a minority of anti-HDV positive patients are adequately managed in specialized outpatient clinics, with unsuccessful attempts to link many patients to care, particularly among young migrant men. These findings underscore the need for alternative strategies, such as decentralized testing, reflex testing, and the involvement of patient navigators or social workers, to strengthen linkage to care and improve retention. Full article