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Background Stimulated by rapid modernization and industrialization, there is massive rural–urban migration in China. The migrants are highly susceptible to smoking and mental health problems. This study examined the association between both perceived work stress and perceived life stress with smoking behavior among this group during the period of migration. Methods Participants (n = 1,595) were identified through stratified, multi-stage, systematic sampling. Smoking status separated non-smokers from daily and occasional smokers, and migration history, work stress, and life stress were also measured. Analyses were conducted using the Chi-square test and multiple logistic regression. Two models were utilized. The first was the full model that comprised sociodemographic and migration-related characteristics, as well as the two stress variables. In addressing potential overlap between life and work stress, the second model eliminated one of the two stress variables as appropriate. Results Overall smoking prevalence was 64.9% (95% CI: 62.4-67.2%). In the regression analysis, under the full model, migrants with high perceived life stress showed a 45% excess likelihood to be current smokers relative to low-stress counterparts (OR: 1.45; 95% CI: 1.05 – 2.06). Applying the second model, which excluded the life stress variable, migrants with high perceived work stress had a 75% excess likelihood to be current smokers relative to opposites (OR: 1.75; 95% CI: 1.26–2.45). Conclusions Rural–urban migrant workers manifested a high prevalence of both life stress and work stress. While both forms of stress showed associations with current smoking, life stress appeared to outweigh the impact of work stress. Our findings could inform the design of tobacco control programs that would target Chinese rural–urban migrant workers as a special population.

Background The prevalence of type 2 diabetes mellitus (T2DM) has been rapidly growing in Chinese populations in recent decades, and the shift in eating habits is a key contributing factor to this increase. Eating out of home (EOH) is one of the major shifts in eating habits during this period. However, the influence of EOH on the incidence of T2DM among Chinese urban workers is unknown. Methods The cross‐sectional study involved an analysis of 13,904 urban workers recruited from 11 health examination centers in the major cities of China to explore the relationship between EOH and T2DM between 2013 September and 2016 March. Results Average weekly EOH frequency ≥10 times was positively associated with increased incidence of T2DM in the sampled population (OR: 1.31 [1.11–1.54], p < 0.01), most notably in participants ≤45 years old (OR: 1.41[1.11–1.80], p < 0.01]) and in males (OR:1.26 [1.06–1.51], p < 0.01). An EOH frequency of 5 times/week appears as a threshold for a significant increase in the odds of T2DM. Weekly EOH frequency ≥5 times was associated with increased odds of T2DM in a dose–response manner in the total population and almost all subgroups (poverall association < 0.05 and pnonlinearity ≤ 0.05). Conclusion This study showed that a frequency of EOH (≥5 times/week) was associated with a frequency‐dependent increase in the odds of T2DM urban workers in China. More nutrition promotion is needed to improve the eating behavior of Chinese urban workers to reduce T2DM risk. Dose–response associations between weekly frequency of eating out of home (EOH) and type 2 diabetes mellitus (T2DM) in (A) the total population, (B) male population, (C) female population, (D) population > 45 years old, and (E) population ≤45 years old. The fully adjusted model included age, gender (except for male and female population), BMI, smoking status, drinking status, physical activity, hypertension, dyslipidemia, and family history of T2DM. Highlights High frequency of eating out of home (EOH) was associated with increased odds of type 2 diabetes mellitus (T2DM) in Chinese urban workers. The positive association between EOH and T2DM was independent of sex, and the association was strongest in individuals ≤45 years of age. EOH frequency of about 5 times/week seemed to be a threshold for the increased odds of T2DM.

Background Malawi is at the brink of experiencing food insecurity amidst the COVID-19 pandemic as the vast majority of its population lives in extreme poverty. While measures are being implemented to avert the spread of COVID-19, little is known about how COVID-19 policy measures have impacted food insecurity in urban Malawi. This study addresses this gap by exploring the implications of COVID-19 policy measures on food insecurity in low-income areas of Blantyre in Malawi. Methods We used Bronfenbrenner's ecological theory to explore the implications of COVID-19 policy measures on peoples’ access to food. In-depth interviews were conducted with fifteen participants comprising of private school teachers, street vendors, sex workers, and minibus drivers. Data were analyzed using thematic analysis in which emerging patterns and themes from the transcripts were identified. Results The COVID-19 lockdown measures undermined participants’ ability to maintain livelihoods. These measures have increased the vulnerability of the residents to food insecurity, forcing them to face severe challenges to accessing adequate food to support their families as a result of low incomes, job loss, and business disruptions. Conclusion Our study underscores the need for the Malawi government to seriously consider the provision of basic necessities such as food to the urban poor. We also suggest that the Malawi government should continue and expand the social cash transfer or relief funding packages by targeting the most vulnerable groups in the city. There is also a need for the government to engage all stakeholders and work collaboratively with people at local level in policymaking decisions in times of crisis.

Urbanisation has accelerated the pace of development throughout the world. Big cities provide employment and livelihood for workers because of which workers have always migrated from rural areas to cities. However, in India, most of the migrant workers are absorbed in the low-paid and low-skilled jobs in the widespread informal sector. With the outbreak of COVID-19, lockdown was declared suddenly without any notice in India during the last week of March 2019 and most of the urban informal sector workers suddenly lost their jobs, and since they had no protection, they were pushed into poverty. Detailed analysis of such losses is of utmost importance so that perfectly appropriate remedial measures can be taken by the government. Periodic Labour Force Survey (PLFS) report of 2019-20 has analysed the situation of labour market in India for four quarters from July 2019 to June 2020. Therefore, the last quarter of the data will give us the valuable information about the urban labour market during the first three months of the COVID-19 pandemic period. This study analyses the possible reasons behind decline in monthly earnings and labour market participation of urban people in India during the period of outbreak of COVID-19 pandemic, i.e. during the period from April 2020 to June 2020, using the data of fourth quarter from each of the PLFSs of 2017-18, 2018-19 and 2019-20 since they have identical seasonal conditions. We have used cross-tabulation method to find out employment and unemployment rates of people in urban areas according to gender and type of employment for the period, from July to June, for the years 2018, 2019 and 2020. We have also tried to find the reasons behind the decline in income of workers during the first three months of the pandemic period, i.e. during the fourth quarter of 2019-20, compared to the fourth quarter of 2017-18 and that of 2018-19 using the Mincerian wage equation. Our empirical results have shown that urban workers in India have lost jobs and suffered from significant decline in income during the first three months of the COVID-19 pandemic period in almost all types of employment.

Background More than 90% of the Chinese population was covered by its three basic social health insurances. However, the Chinese rural-to-urban migrant workers (RUMWs), accounting for about one-fifth of China’s total population, seem to be put on a disadvantaged position under the current health insurance schemes. The purpose of this study is to identify the current barriers and to provide policy suggestions to the ineffective health insurance coverage of RUMWs in China. Methods A systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The searched databases included PubMed, Embase, Medline, Web of Science, PsycINFO, Maternity and Infant Care Database MIDIRS, the Cochrane Library, WHO Library Database (WHOLIS), WHO Global Health Library, World Bank eLibrary, OpenGrey, CNKI, and Wanfang. In total, 70 articles were reviewed. Results (1) Chinese RUMWs have high work mobility and low job stability; (2) Barriers faced by RUMWs in obtaining effective health insurance coverage are primarily due to the reluctance of employers to provide insurance for all employees and the disadvantaged position held by RUMWs when negotiating with their employers; (3) Fissures among existing health insurance schemes leaves no room for RUMWs to meet their primary needs; and (4) Recent efforts in improving the portability and transferability of insurance across borders and schemes are not enough to solve the barriers. Conclusion It is argued that the Chinese central government must deal with the fragmentation of healthcare system in China and promote effective coverage by: (1) playing a more active role in coordinating different healthcare and social welfare schemes across the country, (2) increasing the health insurance portability, (3) making the healthcare policies more compatible with RUMW’s characteristics to meet their primary health needs, (4) strengthening supervision of employers, and (5) providing more vocational training and other support to increase RUMW’s job stability.

Counting the world's poor: problems and possible solutions; by Angus Deaton. Comments on \"counting the world's poor\"; by Martin Ravallion, and T. N. Srinivasan. Ecology, history, and development : a perspective from rural Southeast Asia; by Yujiro Hayami. Productivity growth and sustainability in post-green revolution agriculture: the case of the Indian and Pakistan Punjab; by Rinku Murgai, Mubarik Ali, and Derek Byerlee. The politics of Russian enterprise reform: insiders, local governments, and the obstacles to restructuring; by Raj M. Desai and Itzhak Goldberg.

Background Migration can be linked to the transmission of COVID-19. COVID-19 vaccine uptake and hesitancy among rural-to-urban migrant workers in China, the largest group of internal migrants in the world, has not been characterized. Objective To investigate COVID-19 vaccine uptake and identify vaccine hesitancy-associated factors among rural-to-urban migrant workers in the first round of COVID-19 vaccination in China. Methods A cross-sectional questionnaire-based survey was conducted, including 14,917 participants. Socio-demographics, COVID-19 vaccine uptake, vaccine hesitancy and its associated factors based on Vaccine Hesitancy Determinants Matrix (VHDM) were applied for the survey. Data were principally analyzed by logistic regression analysis. Results The COVID-19 vaccine uptake and vaccine hesitancy rates were 7.1% and 57.7%, respectively. Vaccine hesitancy was strongly associated with VHDM, including individual factors (female, higher annual income and fewer medical knowledge), group factors (less family support, friend support and public opinion support), COVID-19 epidemic factors (lower fatality, infection and emotional distress) and vaccine factors (less vaccine necessity, vaccine safety, vaccine efficacy, vaccine importance and vaccine reliability). Conclusion The VHDM model has the potential utility in efforts to reduce COVID-19 vaccine hesitancy. Greater efforts should be put into addressing positive predictors associated with vaccine hesitancy.

This paper aims to explore the multidimensional poverty of the migrant workers. This paper also analyzed the migrant worker's household registration differences and multi-period analysis of the migrant workers. China Family Panel Studies (CFPS), a household and social tracking survey data conducted by the Institute of Social Science Survey, was used in this article. Income, health, education, social security, living standards, and urban intergration were considered Multidimensional Poverty. This paper combines the A-F multidimensional poverty method and Foster's duration analysis method to construct a long-term multidimensional poverty index. Our results show that the long-term multidimensional poverty situation of the migrant workers is not severe but is mainly concentrated in certain dimensions and specific indicators. However, the long-term multidimensional poverty of the migrant workers is a persistent problem. Although the situation is gradually improving, the long-term negative impact of multidimensional poverty on individuals is increasingly prominent.

The first part of the report presents stylized facts of youth and labor markets in Africa. The second part discusses past youth employment interventions in the region. It argues for the need of an integrated approach should governments want to tackle youth employment issues in a sustainable manner. Indeed, in African countries, with large informal sectors and dominance of rural population, solely reforming labor market institutions and implementing active labor market policies are likely to have limited impact. It argues that the most needed and well-rounded approaches are: expanding job and education alternatives in the rural areas, where most youth live; promoting and encouraging mobility; creating a conducive business environment; encouraging the private sector; improving the access and quality of skills formation; taking care of demographic issues that more directly affects the youth; and reducing child labor.

Background There has been an increase in older rural-to-urban migrant workers (aged 50 and above) in mainland China, little known about their depressive symptoms. The aim of this study was to identify depressive symptoms among older rural-to-urban migrant workers, as well as explored the factors leading to differences in depressive symptoms between older rural-to-urban migrant workers and their rural counterparts (older rural dwellers) and urban counterparts (older urban residents) in mainland China. The results provided a comprehensive understanding of the depressive symptoms of older rural-to-urban migrant workers, and had great significance for improving the depressive symptoms for this vulnerable group. Methods Data were derived from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2015, and coarsened exact matching (CEM) method was employed to control confounding factors. This study employed a Chinese version 10-item short form of the Center for Epidemiologic Studies-Depression Scale (CES-D 10) to measure depressive symptoms, and used the Social-Ecological Model as a framework to explore influential factors related to depressive symptoms. Specifically, the approach of Fairlie’s decomposition was used to parse out differences into observed and unobserved components. Results After matching, our findings indicated that the prevalence of depressive symptoms in older rural-to-urban migrant workers was lower than older rural dwellers; and the prevalence of depressive symptoms in older rural-to-urban migrant workers was higher than older urban residents. Fairlie’s decomposition analysis indicated that type of in-house shower, sleeping time at night and ill in the last month were proved to be major contributors to the differences in depressive symptoms between older rural-to-urban migrant workers and older rural dwellers; self-reported health and sleeping time at night were proved to be major contributors to the differences in depressive symptoms between older rural-to-urban migrant workers and older urban residents. Conclusions Differences in depressive symptoms between older rural-to-urban migrant workers and their rural and urban counterparts did exist. Our findings contributed to a more reliable understanding in depressive symptoms among older rural-to-urban migrant workers. Our findings would be of referential significance for improving older rural-to-urban migrant workers’ depressive symptoms.