Search Results (360)

Existing research highlights the importance of young people in smoking prevention efforts, yet the smoking behavior of young workers remains underexplored. This study aims to examine whether the transition into first employment influences cigarette smoking among young Chinese workers and to explore the underlying mechanisms. Using data from the China Family Panel Studies (CFPS) and a difference-in-differences approach, we find that the transition into first employment significantly increases smoking intensity. Further analysis shows that this transition is associated with reduced life satisfaction, reflecting exposure to occupational stress such as high workload and time pressure, for which smoking may serve as a coping strategy. In addition, the transition into first employment is associated with increased drinking frequency, indicating greater social engagement in workplace settings where smoking and drinking are often embedded in social interactions. These findings suggest that tobacco control policies should target the first employment transition period by enforcing smoke-free regulations in workplaces and by integrating smoking prevention into pre-employment health education. Focusing on young workers during their first entry into the labor market offers a promising strategy to reduce future smoking prevalence in China. Full article

Background: Healthcare policy in the United Kingdom recognizes that teenagers and young adults (TYAs: 16–24 years at diagnosis) require specialist care. In England, Principal Treatment Centers (PTCs) exist, delivering enhanced care exclusively within the PTC or as ‘joint care’ with designated hospitals (DHs). Central to this is the TYA multidisciplinary team (MDT) and an outreach model coordinating care between hospitals. We previously reported similar outcomes regardless of care location. Aims: To compare TYA experiences of care with healthcare professionals’ perspectives of the service they deliver. Methods: Mixed methods across England and Wales were used. The TYA-MDT identified TYAs who then received a postal invite to a cross-sectional survey capturing experiences of places of care, treatment, healthcare professional support (HCP), mental health, sexuality/fertility, clinical trials and care coordination. Comparisons were made based on exposure to care in a specialist TYA environment within 6 months of diagnosis: all-TYA-PTC (all care in the TYA-PTC, n = 70, 28%), no-TYA-PTC (no care in the TYA-PTC (n = 87, 35%): care delivered in a children/adult unit only), and joint care (care in a TYA-PTC and in a children’s/adult unit, n = 91, 36%). HCP perspectives were captured by rapid ethnography. Results: A total of 250/1056 (24%) TYAs participated. Overall, 200 (80%) rated their teams as excellent/good for helping them prepare for treatment. No evidence of significant differences existed between categories of care for proportions receiving support from key TYA-related professionals: TYA cancer nurse specialists (all-TYA-PTC n = 58, 91%; joint care n = 71, 88%; no-TYA-PTC n = 64, 82%) and social workers (all-TYA-PTC n = 30, 55%; joint care n = 36, 48%; no-TYA-PTC n = 28, 38%). A trend of diminishing support from youth support co-coordinators existed (all-TYA-PTC 63%; joint care 49%; no-TYA-PTC 40%, p = 0.069). This may explain why few differences in patient experiences existed across categories of care. Forty-nine HCPs participated. They were more critical in their interpretation of care, highlighting inequity in resources and challenges in some pathways and coordination. Conclusions: Similar access to age-appropriate support across care settings is likely to reflect recruitment methods. When TYAs are known to the MDT, age-appropriate care can be mobilized beyond TYA units, which could explain the equitable outcomes observed across different care locations in young people who responded to the survey. Nevertheless, gaps persist in communication and coordination, particularly within joint care models, and in the involvement of allied health professionals such as dieticians and physiotherapists, whose input is essential for rehabilitation and return to normal life. Strengthening these areas will require continued investment in workforce capacity and digital infrastructure to support genuinely coordinated, developmentally appropriate TYA cancer care. Full article

Unpaid caregivers in Hong Kong, China (Hong Kong) are known to be under tremendous stress. The government of the Hong Kong Special Administrative Region (SAR) has been funnelling resources to non-profit organisations to support these caregivers in recent years. Since 2020, the British government has provided British National (Overseas) passport holders with a pathway to gain citizenship in Britain, and many Hong Kongers, especially young families, have migrated to Britain. This migration includes many former caregivers of older adults who remain in Hong Kong. How do these left-behind elderly parents comprehend the loss of their main caregivers, an extreme case of empty nest? And how do faith-based, especially Evangelical Christian, organisations and churches, support these older adults and their adult children in transnational caregiving? This study employs an ethnographic approach through on-site fieldwork and semi-structured interviews with older adults whose children migrated abroad, social workers at faith-based organisations, and church pastors. These field observations and interviews are supplemented by case studies and interviews published in news outlets. Through this group study, though limited in sample size, this article argues for the importance of faith identity and religious community in supporting both older adults and their caregivers, whether situated locally or remotely, and how faith-based organisations support transnational caregiving through connecting both parties. Full article

Background: Despite universal infant hepatitis B virus (HBV) vaccination, declining circulating anti-HBs levels are increasingly observed in young healthcare professionals, a high-risk group for occupational exposure. Although several studies have evaluated HBV antibody persistence in healthcare workers, data specifically addressing newly incorporated medical residents in the Spanish context remain limited. This study evaluated baseline anti-HBs levels and serological response to a vaccination booster dose in medical residents at a Spanish tertiary hospital. Methods: A retrospective longitudinal observational study was conducted among medical residents attending the Preventive Medicine Service of Hospital Universitario San Cecilio (Granada, Spain) between 2021 and 2024. Anti-HBs antibody titers were obtained at baseline and ≥10 mIU/mL were considered the conventional protective threshold. Residents with anti-HBs < 10 mIU/mL received an Engerix-B booster followed by repeat serology. Demographic and occupational variables were analyzed. Measles serostatus was collected for comparisons. Results: A total of 275 residents were included (mean age 25.4 years, SD = 2.3 years; 64% females). Baseline serology showed anti-HBs levels < 10 mIU/mL in 53.1% of participants. Lower baseline anti-HBs levels were associated with younger age (adjusted OR = 0.75; 95% CI: 0.64–0.88) and earlier residency year (R1–R2) (adjusted OR = 0.28; 95% CI: 0.13–0.61). Among 116 residents receiving a booster, 94.8% achieved anti-HBs ≥ 10 mIU/mL after booster administration. Measles serology was negative in 54.6% of participants. Conclusions: More than half of newly incorporated medical residents had anti-HBs levels below the conventional protective threshold (10 mIU/mL), yet almost all demonstrated a strong anamnestic response, supporting the persistence of immunological memory despite reduced circulating antibody concentrations. Systematic baseline screening combined with targeted booster vaccination appears to be an effective strategy to ensure occupational protection. Further research incorporating cellular immunity markers may refine future vaccination policies and booster strategies. Full article

Background: Overweight and obesity are emerging public health concerns among young adults. However, evidence on associated sociodemographic, dietary, and lifestyle factors among young industrial workers in low- and middle-income countries remains limited. This study aimed to identify factors associated with overweight and obesity among Vietnamese young industrial workers aged 18–30 years. Methods: A cross-sectional study was conducted among 2295 young industrial workers (55.6% men and 44.4% women) recruited from factories and industrial zones in three geographic regions of Vietnam. Sociodemographic characteristics, dietary habits, lifestyle behaviors, and physical activity were assessed using a structured questionnaire. Body mass index (BMI) was calculated from self-reported height and weight and classified using WHO Western Pacific Region (WPRO) cut-offs; overweight/obesity was defined as BMI ≥ 23.0 kg/m². Physical activity was assessed using the International Physical Activity Questionnaire—Long Form (IPAQ-LF) and categorized by total MET-min/week according to IPAQ scoring guidelines. Logistic regression analyses were performed to estimate crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs). Results: Overall, 10.4% of participants were overweight (BMI 23.0–24.9 kg/m²) and 7.0% were obese (BMI ≥ 25.0 kg/m²), yielding a combined prevalence of 17.4%. After multivariable adjustment, increasing age (aOR = 1.15; 95% CI: 1.10–1.20), male sex (aOR = 2.10; 95% CI: 1.59–2.76), and regular alcohol consumption (aOR = 1.37; 95% CI: 1.04–1.81) were independently associated with higher odds of overweight/obesity, while residence in the Southern region was inversely associated (aOR = 0.57; 95% CI: 0.42–0.76). High total physical activity (vs. low activity) was positively associated with overweight/obesity, whereas moderate physical activity was not independently associated. Other dietary behaviors were not significantly associated after adjustment. Conclusions: Among Vietnamese young industrial workers, overweight and obesity were associated with age, sex, alcohol consumption, and geographic region. The observed association with high total physical activity likely reflects the occupational context of physical activity in this population, highlighting the importance of distinguishing between occupational and leisure time physical activity when interpreting physical activity obesity relationships. These findings underscore the relevance of early, workplace relevant prevention strategies targeting modifiable behaviors, particularly alcohol use. Full article

The digital economy has reshaped the structure and operation of the labor market through profound technological changes, exerting systematic impacts on the quality of flexible employment. Based on five consecutive periods of data from the China Family Panel Survey (CFPS) between 2014 and 2022, a multidimensional, flexible employment quality indicator system is constructed to empirically examine the effects, heterogeneity, and mechanisms of the digital economy on flexible employment quality. This study shows that the digital economy has significantly improved the overall quality of flexible employment. Specifically, male, low-skilled, young, and flexible workers with a low dependency ratio on the northwest side of the Hu-Huan-Yong Line benefit more significantly. Mechanism testing results indicate that industrial structure optimization, human capital accumulation, and improved matching efficiency are important intermediary pathways through which the digital economy enhances the quality of flexible employment. The conclusion indicates that amplifying the positive empowerment effect of the digital economy on the quality of flexible employment, implementing targeted policies, and activating three indirect transmission pathways—industrial structure, human capital, and supply–demand matching efficiency—are key measures to enhance the quality of flexible employment. Full article

Sleep banking, i.e., preemptively obtaining extra sleep prior to anticipated sleep loss, has been proposed as a strategy to reduce the cognitive and physiological consequences of sleep deprivation. However, our understanding remains incomplete regarding the effectiveness of preemptive sleep extension in enhancing resilience to sleep loss. A comprehensive literature search was conducted using PubMed, MEDLINE, and Embase for studies published between 2004 and 2025. Following a comprehensive literature search, we identified 12 studies meeting the inclusion criteria—seven primary experimental trials comprising approximately 140 participants, predominantly healthy young adults aged 18–39 years. We evaluated the effects of sleep banking on cognitive performance, mood, physiological parameters, and real-world outcomes. Included studies encompassed experimental laboratory trials, observational research, and field studies in occupational and athletic settings. Although the number of studies on sleep banking remains limited, experimental evidence demonstrates that preemptive sleep extension improves objective alertness and vigilance during subsequent sleep restriction or total sleep deprivation. Individuals who obtained additional sleep exhibited fewer attentional lapses, faster reaction times, and improved mood, although subjective sleepiness often remained high. Preliminary field evidence suggests that preemptive sleep extension enhances workplace safety, reduces errors, and improves sustained attention in shift workers. In athletic contexts, sleep banking has been associated with improved physical endurance and reaction speed. Importantly, this review primarily addresses the homeostatic dimension of sleep regulation (Process S); circadian factors (Process C), including chronotype, social jetlag, and circadian timing of sleep extension and testing, were not systematically addressed in the included studies and represent important limitations of the current evidence base. Overall, sleep banking appears to be a viable strategy for enhancing resilience to acute sleep loss. It confers measurable benefits in performance, cognitive function, and physiological markers, supporting its application in high-demand occupations and competitive environments. Although it does not fully eliminate subjective fatigue, sleep banking may serve as a valuable complement to other fatigue mitigation strategies for anticipated short-term sleep loss. Full article

Platform-mediated work (PMW) represents a highly unregulated and individualized segment of the labor market, with significant implications for psychosocial work environment and limited occupational health and safety (OHS) management efforts. The use of algorithmic management (AM) by digital platforms extensively directs and disciplines remote workers in PMW, and may exacerbate risks. This study employs the affordance concept initially introduced into safety science by Vicente and Rasmussen in 1992 and later applied in social media studies. Adopting a platform-sensitive approach, this study examines how digital mediation facilitates encounters between platform workers and customers across three types of PMW, and in turn affects harassment among platform workers. The analysis draws on 22 qualitative interviews with young platform workers supplemented by three workshops involving 13 stakeholder participants, informed by the Canadian Knowledge Transfer–Exchange approach. The findings identify three high-level affordances that significantly shape risks of harassment: (1) platforms’ ability to transcend physical space; (2) a digital blurring of private–professional boundaries; and (3) the amplification of asymmetric power relations among platform workers’ customers and platforms, relations that are gendered, classed, and racialized. The type and severity of harassment differ across the three types of platforms explored. Full article

Lean 5S programs are widely promoted to improve occupational safety and health, but quantitative evaluations in metal casting are scarce. This study examined whether a Lean 5S + Safety program was associated with changes in injury outcomes in an aluminum casting plant. Safety records from 2021 to 2025 for production and shopfloor support workers included injuries, lost workdays, and person–hours. Injury frequency (IFR) and severity (SR) rates per 1,000,000 person–hours were computed, and multivariable Poisson regression with log(person–hours) offsets estimated incidence rate ratios (IRRs) comparing the program period (2022–2025) with the pre-implementation year (2021); negative binomial models were also fitted. Over 3.53 million person–hours, 170 lost-time injuries, and 1848 lost workdays were recorded, and the annual IFR declined from 68.2 to 29.3 per 1,000,000 person–hours. Across model specifications, the program period was associated with 30–40% lower injury rates and roughly halved lost workday rates versus baseline. Injuries and lost workdays were concentrated in foundry and machining, and young short-tenure workers and those with lower secondary education had the highest rates; exploratory analyses suggested a late-summer shift in injuries from day to evening and night shifts. Overall, this multi-component Lean 5S + Safety-centered occupational safety and health (OSH) improvement program was associated with improved safety performance, while residual risk remained concentrated in specific departments and worker groups. 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

In industrial and logistics settings, the use of soft and rigid spinal exoskeletons has been increasing. However, under a unified assistance level and comparable work scenarios, systematic comparisons of their effects on users’ thermophysiological responses and subjective thermal perceptions remain limited. Twenty male participants performed manual handling tasks under three load conditions (5, 10, and 15 kg) in three experimental conditions: without the exoskeleton (WEXO), a rigid exoskeleton (REXO), and a soft exoskeleton (SEXO). Metabolic rate, mean skin temperature (MST), thermal comfort vote (TCV), and thermal sensation vote (TSV) were measured. The key findings are as follows: Compared with WEXO, both exoskeletons significantly reduced metabolic rate. Across all loads, SEXO yielded a lower metabolic rate than REXO and showed a more gradual linear increase as the load increased, whereas REXO exhibited a larger rise at 15 kg. Overall, MST was higher in REXO than in SEXO. Wearing an exoskeleton was often associated with increased skin temperature at 5–10 kg, yet MST decreased for both exoskeletons at 15 kg. Subjective ratings further indicated better TCV and TSV with SEXO than with REXO, with the difference more pronounced under higher loads. Taken together, under the conditions of this study, the soft exoskeleton appears to better balance assistive benefits and thermal comfort. Nevertheless, its heat transfer and heat dissipation performance should be further optimized in future designs. Full article

Youth workers within non-profit organisations in South Africa play a vital role in supporting the government’s agenda to mainstream positive youth development through the delivery of youth services. This study aims to examine the motivations that drive youth workers to get involved in youth work practice and the challenges they experience while performing their roles in non-profit organisations in South Africa. This qualitative study purposively sampled 10 youth workers. Two methods of data collection were employed, which are the Qualitative Online Survey (QOS) and online interviews through WhatsApp telephonic conversations. Data collected were analysed through reflectivity thematic analysis. This study is informed by Self-Determination Theory (SDT), which highlights the intrinsic and extrinsic motivational sources that drive individuals to act or pursue specific goals. The findings indicate that wanting to gain practical work experience as well as the desire to make a difference in young people’s lives is a major drive for youth workers’ involvement in youth work practice within the NPO sector. The study further found that youth workers experience a variety of challenges that affect their productivity and their work in general, including lack of funding, absence of training, orientation and workshops as part of professional development, as well as community resistance. To address some of these challenges and encourage youth workers’ involvement in youth work practice within the NPO sector, this study recommends an urgent need for structured and continuous professional development pathways to strengthen youth workers’ skills, enhance programme effectiveness and support the professionalisation of youth work in South Africa. Full article

Background/Objectives: The COVID-19 pandemic caused over seven million deaths globally as of July 2024. In an attempt to bring the pandemic under control, immunization was implemented as the main preventive strategy. This study aimed to investigate the knowledge, attitudes, and practices (KAP) of hospitalized patients and healthcare workers (HCWs) regarding COVID-19 vaccination, as well as the factors contributing to COVID-19 vaccination rates. Methods: This cross-sectional, survey-based KAP study was conducted between November 2024 and February 2025 in five hospitals across five cities of the Republic of Srpska, Bosnia and Herzegovina. Results: There were 571 respondents, 68% of whom were female, with an average age of 39.17 ± 14.74 years; one-third held a university degree. The study sample consisted of patients and healthcare workers (HCWs) (59% vs. 41%). During the pandemic period, 46.6% of respondents were diagnosed with COVID-19, with a higher prevalence among healthcare workers compared to patients (54.2% vs. 41.2%). Among the 55.2% of respondents who were vaccinated, HCWs were more often vaccinated than patients (70.9% vs. 44.2%) and more likely to know that vaccines protect against severe forms of disease and death (80.8% vs. 68.5%). Patients more often believed that vaccination against COVID-19 may lead to sterility in young patients (11.3% vs. 6%) and were more often afraid of vaccination compared to the occurrence of COVID-19 (35.6% vs. 24.8%). Regression analyses showed that independent predictors of COVID-19 vaccination were older age (p < 0.001), higher education level (p = 0.039), knowledge of vaccine production technology, and the belief that vaccinated individuals have milder symptoms of the disease (p = 0.002). Conversely, the belief that the COVID-19 situation was overblown was negatively associated with vaccination (p = 0.004). Conclusions: HCWs had better knowledge, more positive attitudes, and better vaccination practices against COVID-19 in comparison to patients. However, there are still certain dilemmas and hesitations among HCWs toward COVID-19 vaccination. Full article

Background: Although China has eliminated indigenous malaria, imported cases, particularly among young and middle-aged workers returning from Africa, constitute a major challenge for current epidemic prevention and control. In contrast, imported malaria in children is extremely rare and often subject to diagnostic delays in non-endemic areas due to atypical clinical presentations. Case presentation: We report a case of a 2-year-11-month-old boy who returned from Sudan, a malaria-endemic region, presenting with fever and diarrhea as the initial symptoms. The case was identified by the laboratory through the blood routine re-examination rules, crucially informed by the patient’s epidemiological history. The diagnosis was ultimately confirmed as Plasmodium falciparum malaria by rapid diagnostic testing and microscopic examination. Conclusion: This diagnostic pathway exemplifies a closed-loop model of “clinical suspicion → targeted laboratory testing → definitive pathogen identification.” It provides a practical framework for the early detection and diagnosis of pediatric imported malaria with atypical presentations in non-endemic areas. Full article

Under the dual driving forces of negative population growth and the cross-regional agglomeration of factors, the trend of urban shrinkage in China continues to intensify. This study examines 461 small towns in 26 mountainous counties of Zhejiang Province, constructing a multi-dimensional shrinkage identification model based on “population–economy–land use.” The spatiotemporal patterns of shrinkage were visualized using ArcGIS 10.8, while the driving factors were analyzed using the MGWR method. ① From 2010 to 2020, the shrinkage phenomenon in small towns across the 26 mountainous counties rapidly spread, with medium- and severe-shrinking towns increasing markedly, showing an irreversible trend. ② The spatial evolution pattern shows a phased characteristic, transitioning from “disordered scattered points” to “striped aggregation.” A “V”-shaped shrinkage belt formed along the “Kaihua–Jingning–Yongjia” axis, demonstrating strong spatial aggregation. ③ The shrinkage of small towns is driven by multiple factors. Rugged mountainous terrain constrains development, while urbanization and industrial restructuring, coupled with outmigration of young and middle-aged workers, accelerate aging and limit local specialty industries. Transportation, social services, and policy frameworks further influence shrinkage patterns. In response to the continuous shrinkage trend of small towns in mountainous areas, future efforts should adopt coordinated strategies such as smart shrinkage, industrial restructuring, and institutional innovation to achieve structural and systemic reshaping. Full article