Many studies have shown that urban workers may have a higher acceptance rate of coronavirus disease (COVID-19) vaccine uptake compared to their rural counterparts. As Omicron spreads globally, the COVID-19 booster vaccination has been acknowledged as the primary strategy against this variant. In this study, we identify factors related to the willingness of workers in megacities to take the vaccine booster shots and their main reasons accounting for their booster willingness. This research survey was conducted in megacity H in eastern China, and a total of 1227 employees from different industries were interviewed. The study at hand examines the relationship between various characteristics (including both economic and non-economic factors) of urban employees and their intention/desire to accept the COVID-19 booster shoots. The survey results show that some characteristics, namely work organization, vaccine knowledge, and social network, affect their intention to take COVID-19 vaccine booster shots. Urban employees with a strong work organization, a high degree of vaccine knowledge, and a dense social capital are more likely to receive booster injections than other employees. Therefore, work organization, vaccine knowledge, and social networks provide fundamental entry points for designing enhanced injection strategies to increase the acceptance of COVID-19 vaccines among employees in megacities.
Do children with migrant parents or migrant family members have a greater likelihood of migration as they reach adulthood? Three possible patterns of youth migration are examined in this study: (1) network migration, when families migrating first pave the way for subsequent generations to follow; (2) gendered migration, where the gender of migrant parents and left-behind children influences the probability of youth migration; and (3) relay migration, which involves transgenerational migration switching within a family. We use data collected from Thailand in 2008/2010 (Wave 1) and tracked in 2019 (Wave 2) to understand how the migration of parents and other family members influenced youth migration in 2019. Within the network effect, household migration was one of the driving forces behind youth migration, while mother-involved migration appeared to be strongly associated with youth labor migration, especially among males. There is, however, no evidence that return migration, whether parental or non-parental in the same household, was associated with an increased likelihood of youth labor migration. This study demonstrates the relative strength of network effects of household migration when compared to relay migration on youth migration. The findings also highlight the complexity of gender-based migration in the Thai context. This research contributes to the larger field of left-behind children and youth migration by establishing the transition between these two roles and illustrating different reasons for migration in sending countries.
Introduction: Social workers play a critical role in healthcare settings by addressing both medical and nonmedical needs. Trained in human behavior and social environments, they are best suited to screen for social determinants of health (SDOH) and connect patients with resources paving the way for optimal health and well-being. Methods: This narrative review synthesizes the existing literature on SDOH screening practices within healthcare settings, emphasizing the role of social workers. A systematic search was conducted across multiple databases. A total of 26 studies met the inclusion criteria and were analyzed using a qualitative narrative synthesis approach. Results: This review reveals variability in SDOH screening domains, tools, and implementation strategies across healthcare settings. Facilitators and barriers to implementation were identified, including workflow integration, interprofessional collaboration, and contextual readiness. Social workers emerged as key professionals in addressing health-related social risks, leveraging their expertise in patient engagement, assessment, and system navigation. We further introduced the integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework to suggest the effective integration of SDOH screenings, emphasizing innovation, recipient engagement, contextual readiness, and facilitation. Conclusion: The effective integration of SDOH screenings requires structured workflows, interdisciplinary collaboration, and policy support. The review provides practice models of workflows for SDOH screenings and implications within two different healthcare settings: hospitals and outpatient clinics, offering insights into best practices and areas for future research. Strengthening the role of social workers in SDOH screenings can improve patient outcomes and promote health equity.
Financial strain is a major social stressor that adversely affects well-being, yet few studies have comprehensively examined whether its association differs by race/ethnicity. This study investigates whether the relationship between financial strain and two key outcomes—mental health and life satisfaction—varies across racial/ethnic groups using longitudinal data. Drawing on 13 waves of the United Kingdom Household Longitudinal Survey (UKHLS), spanning 2009–2010 to 2021–2022 and comprising 58,029 individuals and 417,766 person-years, we apply fixed-effects regression models to assess within-individual changes over time. Results show that financial strain is consistently associated with poorer mental health and lower life satisfaction. However, racial/ethnic variation emerges only in relation to mental health. Specifically, Black adults experience a stronger adverse association between financial strain and mental health compared to White adults. Subgroup analyses reveal further nuance: relative to White adults, African adults exhibit a more pronounced adverse association, whereas the association is not significant among Caribbean adults. Among Asian adults, financial strain is more strongly associated with poorer mental health for Indian individuals but less so for Chinese individuals. These findings highlight the need for tailored financial and mental health support initiatives that account for differences across both broad and specific racial/ethnic groups relative to the majority population. Targeted interventions may help mitigate the unequal burden of perceived financial stress and promote more equitable well-being outcomes.