Large Cities Research Articles

Effects on personal and cultural wellbeing of attending free community outreach concerts given by a professional orchestra

Despite hundreds of investigations into the benefits of arts engagement for health and wellbeing, much of what we know comes from research in clinical settings, and little is understood about the positive effects of attending live musical performances. As many professional orchestras have begun re-examining their purpose and mission statements, they also seek ways to measure their impact beyond ticket sales and donations in hopes of highlighting positive effects on concertgoers and their community. The purpose of this study was to explore the impacts of a free community outreach concert series provided by a professional orchestra on individual and community wellbeing in a large city in the United States. The researchers conducted semi-structured interviews, paired interviews, and a focus group with 18 participants between the ages of 18 and 77 years. Abductive analysis allowed us to consider emerging themes and pre-existing theories of wellbeing concurrently. The results showed three primary areas of impact on concert attendees’ wellbeing: emotional, social, and cultural. Concert attendance fostered positive emotional states and reduced negative emotions, led to personal feelings of connection with the orchestra and across the community, and contributed to personal- and local-cultural wellbeing. In addition to reinforcing much of the prior scholarship on the effects on wellbeing of arts participation, particularly in the emotional and social domains, the results highlight new possible connections between community outreach programs and increased cultural wellbeing.

A Sociopragmatic Study of Saudi Arabic Address Terms: Implications for Cross-Cultural Communication

Many studies have investigated terms of address, primarily focusing on Western languages. However, few studies have explored this topic in varieties of the Arabic language. This study examines the use of terms of address in Saudi Arabic, investigating the terms used by Saudi men and women, the effect of the addressees’ age and gender on the selection of address terms, and the linguistic patterns employed by Saudis when addressing each other. Twelve participants from two large cities in Saudi Arabia took part in the study. A semi-structured interview featuring 12 different social situations was conducted to answer the research questions. The interviews were conducted in the Saudi Arabic dialect to elicit authentic and realistic responses. The data were analyzed thematically to identify recurring patterns and trends in the use of address terms. Seven categories of address terms were identified. Furthermore, the age and gender of the addressees were found to influence the choice of terms. Moreover, five linguistic patterns were used by the participants to address each other. These findings provide important insights into professional settings where understanding suitable address terms can lead to more productive and culturally acceptable communication.

Molecular and serological detection of Leishmania infantum (Trypanosomatida: Trypanosomatidae) in domestic dogs in Manaus city, Amazonas, Brazil.

Leishmaniasis are zoonosis widely spread in Brazil, caused by the protozoan of the genus Leishmania, which includes several species. The disease manifests itself in the visceral or tegumentary form, and the main reservoir is the dogs. Manaus is the largest city in the Brazilian Amazon region, and despite the importance of the municipality, practically nothing is known about leishmaniosis in humans and animals. The objective of this study was to evaluate the occurrence and risk factors associated with the presence of Leishmania infantum in domiciliated dogs from Manaus. Molecular (polymerase chain reaction) and serological (immunofluorescent antibody test) methods were used as an indication of the circulation of the parasite. Blood samples for 154 domiciled dogs were obtained, and prevalence ratio and analysis of the variables were performed. Serum antibodies anti-Leishmania spp. were detected in 20.8% (95% CI: 14.4%-27.2%). Access to the street and zone of residence (P < 0.01) were associated with higher seropositivity. Molecular diagnosis for L. infantum detected positivity in 60 (39%) of the 154 (95% CI: 31.3%-46.7%) animals, and the variables street access, contact with dogs, and zone of residence were associated with higher frequencies of positivity (P < 0.05). Both serology and molecular diagnosis detected positive dogs in the municipality. This is the first description of the circulation of L. infantum infecting dogs in Manaus. As the municipality is classified as nonendemic, studies of isolation and characterization of the isolate must be done urgently.

The Urban Bias in Latin American Avoidable Mortality.

In 1977, Michael Lipton introduced the Urban Bias Thesis as a framework for understanding how most economic policy initiatives have contributed to the overdevelopment of urban areas and the underdevelopment of rural areas. In Latin America, there has historically been a positive correlation between urbanization and mortality decline, as the region's health transition generally began in the main cities and tended to proceed more rapidly in countries with higher levels of urbanization. This paper seeks evidence of a residual urban bias in the region's mortality patterns. Using a sample of Latin American countries over the 2000-2010 period, I analyse the disparities in mortality patterns and avoidable causes of death by looking closely at urban and rural areas using continuum categories. The results indicate that the urban advantage does persist and that rural-urban mortality differentials have consistently favoured the largest cities. The metropolitan advantage in mortality is an outcome of lower mortality in causes of death that are avoidable through primary interventions. Even in scenarios of high mortality at younger adult ages (15-44), the metropolitan advantage remains, due primarily to unsuccessful efforts to reduce mortality in populations aged 45years and over outside the main and large cities.

Exploring the strategies for upgrading public facilities in urban villages: A case study of Wuhan, China

Public facilities are essential components of urban villages in large cities in China, playing a key role in the quality of life for residents. However, our understanding of these public facilities is limited. There is an urgent need to upgrade them in the context of a new wave of urban redevelopment in China. To address this gap, we first identify Wuhan’s urban villages by correlating the proportion of construction land with the percentage of migrants. Next, we employ kernel density estimation and fishnet analysis methods to examine the characteristics of public facilities in urban villages. We then develop a new research framework, characterized by “upgrade sequence – upgrade mode”, for strategically arranging the upgrading of these facilities. Our findings indicate that: (1) the upgrade of public facilities in Wuhan’s urban villages should focus on the suburban districts; (2) it is essential to balance supply and demand when addressing issues related to public facilities, avoiding indiscriminate large-scale demolition and reconstruction, as in-situ upgrades may become the new trend; and (3) different upgrade approaches should be adopted based on the specific features of each urban village. Overall, this study fills a gap in the systematic examination of public facilities in urban villages and proposes a new strategy for in-situ upgrades. We contribute to a nuanced understanding of the dynamics of urban villages in China and the broader context of planetary urban redevelopment.

Self-reported lifetime Hepatitis B virus testing, and vaccination uptake among people who inject drugs in Iran: a nationwide study in 2020.

Hepatitis B virus (HBV) infection is a silent epidemic among people who inject drugs (PWID). HBV testing and vaccination are important for PWID to reduce the risk of infection, prevent chronic complications and contribute to public health efforts in addressing HBV transmission. Our objective was to assess the self-reported lifetime uptake of HBV testing and vaccination among PWID in Iran and their associated factors. This cross-sectional study was conducted among 2,684 PWID in 11 large cities from July 2019 to March 2020 using a respondent-driven sampling method. Participants were interviewed face-to-face and asked about their lifetime experience of HBV testing and vaccination uptake as the outcome. Logistic regression models were built to identify related factors for reporting HBV testing and vaccination uptake. The prevalence of HBV testing and vaccination uptake among PWID was 14.2% (95% confidence intervals [CI]: 12.8-15.6) and 16.4% (95% CI: 14.9-18.1), respectively. Shared needles, syringes, or equipment in the past 12 months decreased the odds of reporting lifetime HBV testing uptake (Adjusted odds ratio [AOR]:0.46, 95% CI: 0.29-0.72). However, having an academic education (AOR: 1.89, 95% CI: 1.09-3.30) and lifetime experience of homelessness (AOR: 1.58, 95% CI: 1.21-2.06) increased the odds of reporting lifetime HBV vaccination uptake. Our study highlighted the low prevalence of HBV testing and vaccination uptake among PWID in Iran. It is essential to understand and address the obstacles preventing PWID from getting tested and vaccinated for HBV. Addressing these barriers could significantly reduce the burden of HBV among this socio-economically marginalized population.

The polarisation of Italian metropolitan areas, 2000–2018: structural change, technology and growth

Abstract Large cities are a key driver of technological innovation and economic growth. This paper investigates the developments of Italian metropolitan areas, building on insights from economic geography and innovation studies. The key questions to be investigated are the following: (i) Which trajectories of population and economic change can be identified for Italian metropolitan areas? Are we facing a process of economic and technological polarisation that may worsen the country’s imbalances? (ii) What is the role played in such developments by technological and structural change, and in particular by digital technologies and the rise of finance? The empirical analysis investigates the patterns of technological and economic indicators for the period 2000–2018 for 14 Italian metropolitan areas, proxied by their provinces, providing evidence of growing polarisation between Milan, where most positive developments are concentrated, and the other metropolitan zones. Rome has been losing ground in most fields; Venice and Genoa are characterised by industrial decline. Few mid-sized cities show some economic dynamism—including Bologna and Cagliari—while most southern and insular Italian cities increase their gap relative to the performances of leading metropolitan areas.

Abstract 4141457: Forms of Childhood Maltreatment and Subclinical Cardiovascular Disease Risk in Black men and women

Background: Exposure to specific forms of childhood maltreatment have been associated with cardiovascular disease (CVD) risk factors and CVD events in adulthood. Heterogenous experiences of childhood maltreatment across race and sex exist, yet there is little evidence regarding these relationships and CVD risk in Black populations. Aims: To investigate the association between various forms of childhood maltreatment (emotional, general, physical, and sexual abuse) and surrogate markers of vascular dysfunction and test whether sex modify these associations. Methods: Forms of childhood maltreatment and indices of vascular function were assessed in a cohort of healthy Black adults without known CVD (n=404) from a large metropolitan southeastern city. Childhood maltreatment was assessed using the Early Trauma Inventory short form (ETISR-SF) consisting of physical, sexual, emotional, and general domains. A trauma severity index score was calculated by summing the indexes for each of the four domains. Higher scores are indicative of higher traumatic life events before age 18 years. Outcomes of central augmentation index (cAIx) corrected for a heart rate of 75 bpm and carotid femoral pulse wave velocity (CfPWV) were measured as indices of wave reflections and arterial stiffness using applanation tonometry (Sphygmocor Inc.), and central pulse pressure (CPP) was calculated as the difference between the aortic systolic and diastolic blood pressures. Associations between each domain and outcomes were assessed using multivariate-adjusted and sex-stratified linear regression models. Results: Mean age of the cohort was 53 + 10.3 years, 61% women. Exposure to emotional [ b = -1.5%, 95%CI: -2.7,-0.3] and physical abuse [ b = -1.3%, 95%CI: -2.5,-0.2] was associated with cAIx overall but not CPP or CfPWV after adjusting for sociodemographic, clinical factors, health behaviors, and depressive symptoms. Significant emotional abuseXsex ( P= 0.014) and physical abuseXsex ( P=&lt; 0.001) interactions were identified for cAIx. Among women, physical abuse was associated with higher cAIx [ b =1.5%, 95%CI: 0.6, 2.4] and among men emotional [ b =-1.6%, 95%CI: -3.2, -0.0] and physical [ b =-1.7%, 95%CI: -3.1, -0.3] abuse was associated with lower cAIx. Conclusions: Exposure to emotional and physical abuse as children was associated with vascular dysfunction; moreover, exposure to physical abuse among women and not men have adverse clinical implications for CVD risk and prospects for enhanced preventive care.

Exploring the feasibility of Recovery Management Checkups for Primary Care in a Federally Qualified Health Center

IntroductionPrimary care settings present an opportunity for alcohol and substance use disorder (A/SUD) screening and treatment referral. However, there are recognized deficiencies in widely used treatment referral approaches, including acute care connections, vs. those that can support longer-term recovery. Recovery Management Checkups for Primary Care (RMC-PC) is an intervention with an evidence base for improving treatment referral and subsequent recovery for primary care patients; however, the intervention has never been fully implemented outside of a research context. We conducted a feasibility study to inform a future hybrid study of RMC-PC that will test the implementation and effectiveness of the intervention in primary care practice.MethodWe used a convergent mixed method design. The study’s setting was a Federally Qualified Health Center (FQHC) located in a large midwestern city. RMC-PC linkage services were administered by one of two treatment linkage managers: an FQHC linkage manager (F-LM) and a research staff linkage manager (R-LM). Quantitative data included (a) rates of positive A/SUD screening among a group of FQHC patients and (b) linkage manager service data (e.g., rate of successful meeting completion and days to completing of key events). Qualitative data included (c) an assessment of linkage manager’s motivational interviewing performance and (d) a focus group with FQHC staff focused on their perspectives on RMC-PC implementation determinants. Quantitative data were summarized using descriptive statistics, and linkage manager performance was compared. Qualitative data were analyzed using a hybrid deductive-inductive process.ResultsFifty percent of patients screened met moderate-high A/SUD risk. Eleven of 16 recruited patients completed at least one linkage manager meeting, with 63% completing both meetings. The F-LM delivered RMC-PC services alongside other duties successfully; however, three primary barriers to FQHC implementation were identified (difficulties applying motivational interviewing, incompatibilities of screening with FQHC technology and workflow, and lack of billing mechanism to support services).ConclusionRMC-PC is feasible for FQHC staff to deliver, though issues identified must be considered to ensure successful and sustainable implementation. Knowledge gained will inform a packaged implementation strategy that will be used in a future hybrid trial.

Pathogens of Plant Diseases in Osh City and Their Connection with Climatic Conditions of Kyrgyzstan

The article discusses the issues of improving the environmental situation, creating a favorable environment for health and, therefore, the need to combat plant pathology in large cities of Kyrgyzstan. Methods of increasing sustainability are analyzed and recommendations for improving the efficiency of the urban green space system are proposed. Based on this, the purpose of the work is to study the possibilities of improving the ecological condition of cities in modern conditions by controlling pests of urban plants. During the research, methods of qualitative identification and analysis of pests of urban plants were used. The information and empirical base of the study was our own laboratory research data. The scientific novelty lies in the identification and identification of pests of planted woody, shrubby and ornamental plants in Osh city. Based on the analysis of pests of planted woody, shrubby and ornamental plants in the city of Osh, it is proposed to strengthen control and research in the field of phytopathology to improve the urban environment by greening urban areas with resistant species to the identified pathologies of woody, shrubby and ornamental plant species. The necessity of forming a pest control system for plants and protecting the ecology of cities is substantiated. As a result of the study, the main types of pests of planted woody, shrubby and ornamental plants in urban areas of Osh were identified.

Epidemiology of Traditional Cigarette and E-Cigarette Use Among Adolescents in Poland: Analysis of Sociodemographic Risk Factors

Background: E-cigarettes are electronic nicotine-dispensing systems in the form of an aerosol. Their popularity among adolescents is growing at an exceedingly fast pace. Methods: This study aimed to determine the prevalence of the use of traditional cigarettes and e-cigarettes and identify demographic risk factors for the use of these products by adolescents in large and small cities and rural areas in Poland. This cross-sectional study conducted in 2021 aimed to assess the prevalence of traditional cigarette and e-cigarette use among adolescents aged 12–18 in Poland, while identifying demographic risk factors associated with their usage. A total of 10,388 adolescents participated, predominantly from rural areas. Results: Findings revealed that 12.3% were traditional cigarette smokers, with 90% smoking in the past month, while 14.9% were e-cigarette users, with 84.7% using them in the past month. Dual users accounted for 6.4% of respondents. Non-smokers were younger, and e-cigarette users were more likely to be boys from larger cities. Moreover, mothers of non-smokers tended to have higher education levels than those of traditional cigarette smokers. Conclusions: This study provides important new insights into demographic predictors associated with the use of specific devices, which can help inform targeted interventions to reduce e-cigarette use.

Beautifying urban environment: Smart city construction and sustainable pollution control in China

Faced with the environmental pollution challenges brought by urbanization, smart city construction (SCC) offers a practical and viable pathway for environmental protection. This study treats China's SCC policy as a quasi-natural experiment, utilizing balanced panel data from 285 cities across the country spanning from 2003 to 2019. Through the multi-period Difference-in-Differences (DID) model, the influence of smart city initiatives on urban pollution emissions is systematically examined. Results demonstrate that SCC effectively control urban pollution emissions, leading to a 1.46% decrease in pollution levels in pilot cities. These findings are robust to various tests, including parallel trends analysis, placebo tests, Propensity Score Matching (PSM)-DID, alternative pollution calculation methods, pollution intensity adjustments, control for other policy interferences, and sample adjustments, alongside endogeneity tests using instrumental variables. SCC achieves pollution control through mechanisms that enhance urban technological innovation, facilitate industrial restructuring, and talent agglomeration and financial agglomeration. Heterogeneity analysis reveals a more pronounced impact in the eastern area, large cities, higher administrative levels, cities with superior digital infrastructure, and those with higher human capital levels and pollution severity. This research explores a practical approach towards achieving sustainable pollution control by optimizing technology, industrial structure, and human resources.

Are Medium-Sized Cities in China Shrinking from 2010 to 2020? An Empirical Analysis with a Multi-Dimensional Model

Urban shrinkage has emerged as a worldwide concern, which is increasingly prevalent in developing countries like China, particularly in medium-sized cities (MSCs). Compared to large cities and counties, MSCs find themselves in a national policy blind spot and have been neglected both in policy and research. Previous studies, based on population changes, have shown that urban shrinkage in China is not severe. However, urban shrinkage is not just about population decline, and it has not been adequately discussed from a multi-dimensional perspective. This paper adopts a multi-dimensional model, considering population, economy, and space dimensions to analyze shrinkage patterns in 164 MSCs in China from 2010 to 2020. Findings reveal that 6.1% of MSCs experienced population shrinkage, and 24.4% faced shrinkage in economic or spatial dimensions. Shrinking MSCs are spatially distributed in the Northeast as well as in the areas surrounding large cities. Industrial restructuring, job losses, and healthcare disparities contribute to urban shrinkage, and the impact of aging will be further felt. As large cities consistently attract population and resources and digitization has dramatically affected population mobility, more MSCs will shrink in the future. This paper contributes to the understanding of shrinkage of MSCs among scholars and policymakers, urging a shift towards more balanced and digital urban governance.

The impact of national land supervision system on urban low-carbon transformation: evidence from China

The land system is a crucial factor influencing urban low-carbon sustainable development. However, previous research has paid little attention to the effects and mechanisms of the national land supervision system (NLSS) on urban low-carbon transformation (ULCT). This study uses China’s routine land inspection as a quasi-natural experiment and examines the impact of NLSS on ULCT using panel data from 283 Chinese cities between 2005 and 2016. The study finds that NLSS significantly promotes ULCT, with a series of robustness checks supporting this conclusion, showing a 1.95% improvement in carbon emission performance in cities under supervision. NLSS mainly facilitates ULCT by improving land use efficiency, upgrading the structural of the service sector, and promoting technological progress. Compared to eastern cities, southern cities, large cities, and non-resource-based cities, NLSS more effectively promotes low-carbon transformation in central and western, northern, small- and medium-sized, and resource-based cities. Additionally, in contrast to cities with high environmental awareness, high marketization levels, high financial development levels, and high fiscal pressure, NLSS more strongly promotes ULCT in cities with lower levels of these factors. Furthermore, NLSS exhibits a significant positive spatial spillover effect in promoting ULCT. In advancing ULCT, NLSS can be synergized with smart city pilot policies and innovative city pilot policies but has not shown synergies with low-carbon city pilot policies.

Study on the Influence of the Built Environment and Personal Attributes on Commuting Distance: A Case Study of the Tianjin Central Area Divided by TAZ Units

Long commuting distances pose a significant challenge for many large cities, undermining the principles of sustainable urban development. The factors influencing urban commuting distances among residents are complex and necessitate hierarchical analysis. This study uses Tianjin, one of China’s four municipalities, as a case study, employing transportation analysis zones (TAZ) as research units. We classify these units based on resident and working populations, extracting multiple built environment and personal attribute factors to establish a model that examines the influence of the job–housing balance. The analysis identifies 12 sub-items across two categories of influencing factors, with correlations tested through spatial analysis and linear regression. We found 28 positive associations and 35 negative associations. Notably, the job–housing relationship for the working population was generally more sensitive to changes than that of the resident population. At the TAZ level, personal attributes exerted a more significant influence on the job–housing balance than built environment factors, with commuting mode, life stage, age, and income level notably affecting commuting distances.

Homeschooling as an extension of school choice in the Czech Republic after the COVID-19 pandemic?

ABSTRACT The aim of the study was to examine the homeschooling and its recent development in Czechia as part of the school choice debate. The study analyses the different attitudes towards homeschooling among different groups within the Czech population and the underlying demographic, socio-economic, and ideological factors that may be behind these differences, as well as analysing the impact of the COVID-19 pandemic on this form of education in Czech society. The analysis of the nationally representative data shows that public support for homeschooling increased significantly after the COVID-19 pandemic, reaching its highest level in 2023. We found that the typical supporter of homeschooling tends to be a younger, highly educated person who lives in the large city or in its suburbs, is committed to democratic and liberal principles, is critical of totalitarian systems, and sees the legal possibility of homeschooling as an extension of the existing school choice.

Labour market segmentation, self-employment, and Hukou reform

Abstract This study aims to examine the impact of the Hukou system, a labour mobility-restricting institution, on the decision to engage in non-agricultural self-employment in China, reflecting the dynamic process of labour transition from contractual work to self-employment within the country’s evolving labour market. By using the China Family Panel Studies (CFPS) dataset, the results show that urban migrants, who own rural Hukou but migrate to large cities, are more likely to turn to self-employment than local citizens conditional on individual characteristics. Taking advantage of the 2014 Hukou reform, we provide supporting evidence that Hukou discrimination is a key factor in explaining the higher self-employment rate among representative urban migrants. Further heterogeneous analysis suggests that low-income migrants experience greater constraints imposed by the Hukou system, while high-income level migrants are more likely to turn to self-employment voluntarily.

Enhancing periodic mobility planning: ARIMA-driven prognostications for subway passenger volume dynamics

Abstract. This study aims to accurately predict urban subway passenger flow using the Auto-Regressive Integrated Moving Average (ARIMA) and Seasonal Auto Regressive Integrated Moving Average (SARIMA) model, with the intention of providing a scientific basis for subway operation management. By meticulously sorting and analyzing the existing traffic data of a large city's subway system, this research constructs a model that comprehensively considering the seasonal, trend, and stochastic characteristics of time series data. During the model construction process, data preprocessing is carried out, including stationarity tests, differencing, model order determination, and parameter estimation, ultimately identifying an ARIMA and SARIMA model with good fitting results, effectively identifying and forecasting characteristics such as numerical fluctuations. Additionally, this study conducts a special analysis of the prediction effects at diverse time scales, verifying the applicability and superiority of the ARIMA and SARIMA model in subway passenger flow prediction. This research not only provides a powerful tool for passenger flow prediction for subway operation management departments, aiding in the reasonable allocation of capacity and optimization of operation strategies, but also holds significant reference and application value for the passenger flow prediction and management of other urban public transportation systems.

Prevalence of Open Defecation Practice and Associated Factors Poverty and Geography in Palembang Indonesia

Palembang is one of the large cities in Indonesia which has a specific geography. A study was conducted to estimate the prevalence and determine poverty factors associated with open defecation practices.An analytical cross-sectional study was conducted for one year among 397 respondents as a sampling. Prevalence was calculated with 95% confidence intervals and binary logistic regression analysis was performed to determine factors associated with open defecation.32.5 percent of people still practice open defecation which is influenced by poverty and geographical factors. Influence of income ) AOR of 13,891 (Cl 8,345 – 23,123), education AOR of 20,328 (Cl 11,881 – 34,780), clean AOR 6,192 (Cl 3,747 – 10,234), water source AOR of 28,882 (16,403 - 50,854), characteristics of the house AOR of 3,977 (2,555 – 6,191), facilities or the availability of toilets at home AOR of 7,066 (4,167 – 11,983), geographical location of the house towards the river or water AOR of 478.995 (173.112 – 1325.1399), knowledge of open defecation behavior AOR of 3.607 , attitudes AOR of 3.277. Respondents who practice open defecation have low income and education, no water source available from the government, geographical location of the house near a river or swamp, no defecation facilities, lack of knowledge and bad behavior.

Envisioning the Future of Burnout Support: Understanding Frontline Workers' Experiences in Nonprofit Gender-Based Violence Organizations

Frontline workers (FLWs) provide essential services necessary for a functioning society, but the nature of their work contributes to their high rates of burnout. This burnout impacts not only their own health, but also has dire consequences for the people most in need of their services. Digital interventions for burnout may provide scalable, accessible, and cost-effective care. However, such interventions have been designed to intervene at the individual-level and have been inadequate in sustainably alleviating burnout. In addition, these interventions have not considered how we might integrate more effective organizational-level strategies or reflect FLWs' own experiences and the unique contexts of frontline work in their design. One important, yet understudied, domain of frontline work that experiences high rates of burnout is gender-based violence (GBV) service provision in nonprofit organizations. Using a community-based participatory research approach, we ran 8 co-design workshops with FLWs and supervisors from various nonprofit GBV organizations in a large metropolitan city in the United States to understand their experiences, hopes, and perceptions of technology for burnout support within their organizations. We found that participants greatly valued their support systems and supervisory relationships at work. And while there was a desire to use technology as support tools for burnout, participants were wary of how it could conflict with these support systems and important organizational values. We contribute a multilevel framework for digital burnout interventions and argue for a methodological shift to an assets-based approach, reframing the future of research and design of burnout interventions to center and reflect the needs, values, and lived experiences of FLWs.