Social Integration Research Articles

Youth Engagement: A Key Driver in the Growth of OTT Platforms

The current research project investigates the vital role of young participation in the rapidly expanding realm of streaming platforms (OTT) platforms. Younger audiences have been the primary driver of the rise in popularity of streaming services, while traditional TV networks are facing a decline in viewing. This article examines the mechanisms that have led to this shift in young viewing habits and tastes, and it also addresses the wider ramifications for the media industry. Key findings show that social media integration, accessibility, and a variety of material are essential for drawing in young viewers, suggesting that traditional channels need to change in order to stay competitive.

Loneliness and Social Isolation: qualitative study among youth in vulnerable situations

Abstract Background Loneliness and social isolation are increasing among young people, particularly those in vulnerable NEET (Not in Education, Employment or Training) situations, potentially leading to poor health and well-being outcomes. We aim to explore these challenges from the perspective of NEET youngsters and link workers who support them in co-creating individual action plans for their social and economic integration. Methods Data were collected through in-depth and semi-structured interviews with 15 young people in NEET situations, aged 18-34, and 7 link workers from several social organisations in rural and urban areas in Portugal. The young participants were selected based on their age, educational level, mental health needs, and urban/rural regions. Thematic analysis was used to analyse the interviews. Results The results showed a convergence between the perspectives of young people and link workers on the factors that influence social isolation and loneliness, including social and emotional skill deficits, excessive use of social media platforms, and mental health problems. Young people reported to being heavily involved in social media platforms, which often did not translate into meaningful relationships in real life. Youngsters also highlighted the lack of local support and community resources in rural areas. Link workers identified specific challenges young migrants face in community integration, including language barriers (for the youth with a migrant origin) and lack of familiarity with local resources. Conclusions This study highlights social media platforms, mental health and social and emotional skill deficits as main factors contributing to the social isolation and loneliness of young people in a NEET situation. This emphasizes the importance of integrated proximity-based interventions that incorporate community resource mapping and local support networks, including mental health support services, and promote multi-sector collaboration. Key messages • Social media platforms, mental health needs, and social and emotional skill deficits drive social isolation in NEET youth, stressing integrated, community-focused interventions. • Proximity-based strategies with community mapping and mental health support enhance NEET youths’ social integration, urging cross-sector collaboration.

Measures to increase the retention of migrant healthcare professionals in Germany

Abstract Background The shortage of skilled workers in the healthcare sector is a pressing issue in Germany that has been worsening in recent years. It is often compensated by the deployment of specialists from abroad. However, this is accompanied by various challenges. This article synthesizes challenges from nine years of research and proposes approaches to solutions that have proven successful in practice in Germany as well as in international settings. Methods The insights presented here condense the results from a total of six research projects (four on physicians and two on nursing). The research projects are based on exploratory qualitative interviews, quantitative questionnaires, mixed-methods designs, and the generation and testing of measures that can help with the integration of foreign skilled workers. Results The main challenges for migrated skilled workers are inadequate language and communication skills, lack of knowledge about the national healthcare system, disease and therapy concepts, unfamiliar forms of inter-hierarchical and inter-professional collaboration, a lack of understanding of administrative and bureaucratic processes and social integration. The following measures have proven successful in Germany and abroad: increasing social integration of physicians (e.g. through partner or peer programs), streamlining systems, establishing professional structures for the integration of foreign skilled workers, and creating a positive work environment. Conclusions Compared to findings from international studies, in Germany the hurdles of administrative processes, the peculiarities of the healthcare system (e.g. social medicine), and learning the language are considered to be the highest. It is important to counteract these challenges with appropriate measures in order to prevent a migration of healthcare professionals already in Germany to (mostly English-speaking) foreign countries. Key messages • In Germany the hurdles of administrative processes, the peculiarities of the German healthcare system (e.g. social medicine), and learning the German language are considered to be the highest. • It should be considered to no longer leave the migration of healthcare staff to individual integration efforts, but to create appropriate government structures that focus on their social integration.

Latent tubercolosis infection in the migrant population: an Italian surveillance experience

Abstract Background The Special Reception Center (“Centro Accoglienza Straordinario” or CAS in Italian) concept was born in Italy in 2014 to receive the large number of migrants arriving in Italy. There are around 3100 centres are in Italy, of which 200+ in Tuscany. Each Center’s objective is to support migrants’ social integration through Italian language and job orientation courses. On arrival at a facility, migrants undergo diagnostic and lab tests to highlight potentially infectious diseases; among these, tuberculosis is one of the most frequently encountered. Therefore, the objective of the study is to estimate the prevalence of Latent Tuberculosis Infections (LTBIs) among migrants hosted in CAS centers. Methods From May-December 2023, Amiata Senese, Val d’Orcia and Valdichiana Senese Public Health Unit staff, according to national and departmental guidelines, implemented a number of health surveillance protocols, with close attention to latent tuberculosis infection. This protocol includes the Mantoux TB skin test at the CAS: in case of positivity, subjects are directed to further exams (chest X-ray, TB-IGRA blood test, infectious disease specialist consultation) in order to implement a therapy. Results From May-December 2023, 259 migrants (241 males and 18 females) received the TB skin tests. Average subject age was 26. Pakistan was the most represented nation of origin with 130 migrants (50%), followed by Bangladesh (9.7%) and Ivory Coast (7.3%). 77 migrants showed a positive TB skin test result (29.7%): of these 56 (i.e. 21.6% of the migrants screened) were also positive to the TB-IGRA blood test and treated for LTBI. Conclusions The high prevalence of LTBIs found in the referenced CAS indicates the need to continue/extend these surveillance protocols. Implementing successfully this procedure requires the involvement of a range of professionals from the socio-health sector within a process necessarily coordinated by the Disease Prevention Department. Key messages • Screening and surveillance of infectious diseases among migrant population represent a major public health issue for European health systems. • Detection and treatment of Latent Tubercolosis Infections require a multiprofessional and integrated approach, coordinated by the Disease Prevention Department.

Concept of a medical and public health cancer genomics platform

Abstract Background This study aims to produce the concept of an open-access medical and public health cancer genomics platform aimed at aggregating and sharing documentation of ongoing initiatives and data resulting from the CAN.HEAL project, available for EU researchers, healthcare professionals, policy makers, citizens and patients. Methods The context (reference sector, stakeholders and research evidences), feasibility (privacy management and data processing), and platform’s end users were analysed; the CAN.HEAL project deliverables were listed and clustered; aspects related to the definition of the overall platform architecture and modules integration were studied. Results The project deliverables were catalogued into 8 categories which could be the platform’s cloud interface main labels: results from events, policy papers, newsletters, mapping results and reports, datasets, recommendations and guidelines, use cases, courses and training activities. To define the overall system architecture, the following key activities should be implemented: content management system choice, hosting configuration and setup of the development domain, content management system installation, development of HTML web pages, data entry, data visualisation and graphic layout, and test and debug. To the modules integration purposes the following items should be addressed: creation of a server analytics account; social network integration; activation of additional system for sending newsletters. Conclusions Cloud-based data platform allows to securely manage, integrate, analyse and share large datasets. Establishing an infrastructure to help researchers access, store and analyse large amounts of biological data is of paramount importance both to enable advances in research and support health policy making processes. The CAN.HEAL platform could help aligning clinical and population-based interventions for integrating the genome of Europe biobanking initiative into public health genomics for cancer. Key messages • Connecting healthcare data can support the challenge of accessing the relevant information needed for the policy and decision making processes to effectively promote population health and wellbeing. • The set-up of a medical and public health cancer genomics platform promotes the effective translation of genome-based knowledge and technologies into public policy and health services.

Fostering long-term conviviality for refugees in the city: Inclusive, collaborative housing in Vienna

Vienna faces a ‘twofold housing and refugee crisis’ amid ongoing migration to Europe. As housing options become increasingly limited, refugees, migrants, and asylum seekers often struggle to find adequate housing, spending a disproportionate share of their income on substandard options. This research highlights progressive trends in Vienna’s refugee housing sector, particularly following the 2009 introduction of ‘Social Sustainability’ in building competitions by the City Council. This initiative has fostered several collaborative housing communities that support inclusive living. By analyzing four of these projects, the study identifies key factors that facilitate newcomers' social and spatial integration. Ultimately, the paper aims to advocate for newcomers’ right to quality housing, emphasizing the everyday and long-term challenges faced by inclusive communities striving for conviviality in a state of thrown togetherness.

Including highly educated migrants in academia to improve their health—protocol for a pilot intervention

IntroductionNorway’s healthcare system needs a diversified work force to meet societal demands for improved cultural competence. However, many migrants in Norway who were educated as health professions in their home countries are not practicing these professions. This may negatively affect their physical and mental health and hinder their personal social integration. Though good health is often seen as a precondition for work, relevant working activities can also improve health. However, including health professionals with foreign education in academic institutions prior to receiving necessary accreditation is a complex task. This study will pilot an intervention aiming to improve health through meaningful integration of these professionals in academic environments.Materials and methodsThis paper is a protocol for a non-randomized pilot intervention study targeting migrants who are waiting for their health education accreditation in Norway. To test the benefits of meaningful activity on health and explore possibilities for implementing such activity, we have designed a six-month long intervention consisting of including nurses, doctors, and other highly educated migrants with healthcare backgrounds between 20 and 67 years of age, into health-related working tasks, at two higher education institutions in Bergen, Norway. The intervention will be tailored according to the participant’s expertise. This hybrid type 2 pilot protocol paper will present how feasibility, fidelity, dose received (satisfaction), and dose of exposure (participation), will be assessed and whether the intervention is experienced as beneficial for the participants’ health as primary outcome utilizing both quantitative and qualitative methods.ConclusionWe present a complex, personalized intervention that has the potential for large scale implementation in the future. By thoroughly presenting our designed intervention and assessment methods, this protocol will add to the study’s transparency and facilitate replicability and comparison with future studies. This study will be of benefit to the migrants themselves, policy makers, government agencies and academia at large as it can point to a unique and sustainable way of speeding up the integration of highly educated migrants in their respective fields in a new host country.

Older Adults’ Descendants and Family Networks in the Context of Global Educational Expansion

AbstractFamily networks are key to understanding the well‐being of older adults because kin provide instrumental and financial support, help manage health and disability, and encourage social integration. Two momentous societal changes have shaped the families of contemporary older adults: the first and second demographic transitions and global educational expansion. The intersection of these two processes raises questions about how older adults are faring in terms of their kin availability. This paper examines the socioeconomic bifurcation of adults in midlife and beyond in terms of the existence of descendants and other kin. Disparities in kin availability may vary across socioeconomic status and contexts, and so we examine this phenomenon worldwide, analyzing data on two thirds of the world's population of adults aged 50 and above. Our results highlight different kin structures by socioeconomic status. High socioeconomic status adults have fewer descendants but a higher likelihood of having at least one child with tertiary education, a partner, and living parents. Low socioeconomic status older adults have larger families with more younger kin. Our results shed new light on potential mismatches between the contemporary family networks of older adults and longstanding social norms and assumptions about caregiving, family, and health policies.

Migration and Economic Development: The Role of Migrant Flows in Shaping Turkey’s Emerging Economy and Uncovering Hidden Conflicts and Challenges

This research examines the economic impact of migration on Turkey's emerging economy, with a particular focus on the contributions of migrant remittances, labor market dynamics, and the socio-political challenges associated with large-scale migrant flows. By employing econometric models and field research, the study explores the relationship between remittance inflows and key economic indicators such as GDP growth, employment rates, and poverty reduction. Additionally, the research uncovers hidden conflicts and social tensions that arise from migration, including labor market inequalities and integration challenges faced by both migrants and Turkish workers. The project evaluates government policies, such as the EU-Turkey refugee agreement, and their effects on economic development and social stability. Field research in migrant-receiving communities reveals the complexities of labor competition and the social dynamics created by migrant dependency in sectors such as agriculture and construction. Findings highlight the need for inclusive migration policies that balance the economic benefits of remittances with the social integration challenges faced by migrant populations. This study also advocates for stronger labor protections and regulatory reforms to mitigate tensions and reduce exploitation in low-wage sectors. The research contributes to the broader understanding of migration’s role in shaping Turkey’s economy and provides insights for policymakers seeking to address both the economic and social dimensions of migration.

Exploring Resilience and Its Determinants in the Forced Migration of Ukrainian Citizens: A Psychological Perspective

This study enhances the understanding of resilience in forced migration through a psychological lens, highlighting the importance of identifying resilience determinants and evidence-based interventions. By fostering resilience, policymakers and practitioners can support the well-being and adaptive capacities of forcibly displaced Ukrainians, promoting psychological recovery, social integration, and positive long-term outcomes for affected individuals and communities. To determine the key resilience indicators, survey data were collected in 2023 from n = 502 Ukrainian refugees living in the U.S. (M age = 27 years). Individuals reported various psychological factors and cultural experiences, revealing high resilience and low-stress tolerance among forced Ukrainian migrants in the U.S., along with a strong correlation between their adopted acculturation strategies and their resilience and levels of traumatization.

Growing up with juvenile idiopathic arthritis: Social issues

IntroductionJuvenile idiopathic arthritis is a chronic inflammatory condition interfering with daily activities, social integration, and school attendance in children because of pain and joint inflammation during disease flares. Online resources might help children with JIA improve their social interactions and enhance their knowledge about their disease and the available therapeutic strategies. ObjectiveThis study aims to reveal the social issues encountered by teenagers prone to JIA and determine their perception of the impact of social media on their daily life. Material and methodsWe conducted this study using inductive qualitative methods to describe the sociocultural perception and experience of adolescents with JIA aged between 8 and 16 years. ResultsIndividual interviews were held with 22 adolescents diagnosed with JIA. Fifty-two percent felt like outcasts and rejected by their peers because of their illness. Most of the participants expressed a need for their friends to be informed about their JIA diagnosis. Twenty-two-point-seven percent stated that they played sports for more than 5h a week. A total of 31.8% found their physical performance was not affected by their disease. Ninety-seven of the participants confirmed that they use social media on average 3h a day. YouTube and Facebook were ranked respectively as the first and the second preferred platforms. Seventeen percent of the children viewed these platforms as positive and helpful in dealing with JIA, especially by taking their minds off the pain, dealing with the stress resulting from the lack of mobility, and facilitating interactions with others. ConclusionSocial integration in children with JIA is still challenging. Social media is helpful in managing JIA and improving social interactions, and in gaining useful information.

Extending the multiculturalism metaphors: state identity in Nasarawa State’s Su-dir dance theatre as fruit salad juice

The robust multiculturalism debate and its attendant metaphors have paid little attention to the peculiar realities of managing the inherent cultural diversity in Africa. This paper opens up the existing debate on multiculturalism, and offers an option of the Fruit Salad Juice as the identity produced through the active cultural interactions within a typical African multi-ethnic state. The Fruit Salad Juice alternative specifically applies to the theatrical performances that emanate from these multicultural collaborations. The paper examines Su-dir dance theatre being one of the products of the Let’s Sheathe Our Swords (LSOS) project launched by the Nasarawa State government of Nigeria to facilitate social therapy and cultural integration after a protracted period of inter-ethnic, religious and political crises in the state. Data for this study was collated through the participant observation and interview methods. At various points, I conducted interviews with the administrators, consultants, and artistes of the Nasarawa State Performing Troupe, as well as some members of the Su-Dir audience. Nasarawa state is conceptualized as a fruit salad bowl, and the LSOS theatrical pieces as juice produced thereof. The idea of Fruit Salad Juice is demonstrated in the evidence of inclusivity and state identity found in the compositional elements of the Su-dir dance theatre and other outcomes of the LSOS project.

From Their Experience: A Thread of Participation Uncertainties Amongst Adult Returnees at a University in a Developing Context

Learning in adulthood offers prospects for (re)defining and strengthening our self-worth for sustainable personal survival, growth, and development. The rate at which adults enroll in university studies upholds the longstanding belief that education is an enabler for social participation, progress, and transformation. An adult, who chooses to stop learning chooses to stagnate in adulthood. However, sometimes, their decision to return to class is submerged in circles of uncertainties that impede their social integration and participation in a system that was not originally designed for them. This article uses the principle of inclusion of the social justice perspective to explore the nature of adult returnees’ participation uncertainties and their implications on the teaching and learning processes. We draw our findings from narratives of adult returnees and academic staff at a public university in Uganda. This study acknowledges that adult returnees experience multiple issues that humiliate, obstruct, and hinder their participation and learning aspirations. However, this should not be grounds for underrating what they can do and achieve during a learning encounter. We suggest learner support systems and instruction practices that restore these learners’ confidence and stimulate and guide their participation in the teaching and learning process

Traumatic brain injury (TBI): Is there anything we can do? A review

Introduction Traumatic brain injury (TBI) is considered a global health crisis. It results in injury to the brain from an external impact leading to severe disability, with higher incidence statistics recently observed in young adults and elderly individuals. Purpose The review aims to analyze current research findings explaining the prevalence, incidence, and demographics of such injuries stressing the need for enhanced prevention and management techniques. The pathophysiology involves a complex cascade of biochemical and cellular events, which results in necrotic-apoptotic neuronal cell death. Method The review synthesizes current research on TBI, highlighting epidemiological data, advanced diagnostics, and effective rehabilitation strategies like physical and cognitive therapy. Findings Traumatic Brain Injury is an important public health issue with high morbidity and mortality rates causing extreme damage to a person, such as comas, catatonic states for various years, or lifelong injury or demolition. Early diagnostic imaging techniques include CT, MRI, advanced neuroimaging methods, and blood-based biomarkers. In the acute setting, initial management is directed toward stabilizing and preventing secondary injuries and early mobilization. The goals of rehabilitation are to promote the highest level of functional independence and physical function, cognitive functions, and social integration. Conclusion This review highlights that the use of new rehabilitation technologies, such as VR-based and robot-assisted therapies, might lead to improved recovery. Long-term supportive care combined with community integration is mandatory for enhancing quality of life. A systematic multidisciplinary team approach and family support are needed for traumatic brain injury survivors.

Pronouns in Welcome: Linguistic Construction of Student Identity in Chinese University Banners

This study explores the nuanced role of pronoun usage in welcome banners at Chinese universities and examines its influence on freshmen’s identity construction within the cultural context of China. Employing a systematic collection and analysis of a corpus of welcome banners, the research utilizes corpus analysis and word frequency statistics to investigate how pronoun choices shape and reinforce freshmen’s sense of identity. The findings highlight the significant impact of linguistic subtleties on the orientation activities at Chinese universities, influencing freshmen’s social integration and identity formation. By illuminating the linguistic characteristics of Chinese welcome banners, this research provides empirical evidence of how cultural and linguistic contexts affect student identity through orientation activities. This study contributes to a deeper understanding of the intersection between language, culture, and identity in higher education.

Analysis of Perceptions and Requirements for Creative Experiential Activity Curriculum for the Revision of Special Education in South Korea

This study investigates the perspectives of key stakeholders—teachers, principals, and parents of students with disabilities—regarding the 2022 Revised Curriculum, which integrates sustainability and climate change education into the Creative Experiential Activity (CEA) curriculum in special education. It focuses on their perceptions and needs for improving CEA to reflect hands-on learning and sustainable development goals (SDGs), particularly in areas like ICT integration and social inclusion. Through a focus group interview (FGI) and the KJ method of analysis, key themes were derived and organized into six levels to structure the transcripts. The teacher group identified 69 perceptions and 73 needs, with main themes related to ‘extracurricular operation status’, ‘evaluation of extracurricular activities’, and ‘experience activities’. Their needs highlighted ‘suggestions for the revised curriculum’ and ‘expectations for new activities’. The school expert group recognized 37 issues and expressed 74 needs, focusing on incorporating ICT and SDGs, particularly SDG 4 (Quality Education) and SDG 10 (Reduced Inequalities) into the revised curriculum. The parent group, with 58 recognitions and 56 needs, expressed perceptions of extracurricular activities in terms of ‘related knowledge’, ‘negative emotions’, ‘school status’, and ‘positive attitude toward their child’s participation’. Their primary needs included ‘request for student guidance’, ‘expectation for successful social integration of children (SDG 3: Good Health and Well-being)’, and ‘opportunities for participation in education’. Furthermore, this study addresses gaps previously unexamined in the field of special education by analyzing the distinctive needs of special education settings and proposing concrete solutions to address these unmet needs. The findings underscore the necessity of tailoring educational content to the diverse needs of students with disabilities, promoting inclusive practices that align with SDGs and reflect the evolving educational landscape in special education.

The impact of social and institutional trust on South Korean perceptions of North Korean arrivals

AbstractHow do forms of trust influence South Korean views of North Korean arrivals? While a broad literature addresses the institutional and generalized social trust impacting a range of public perceptions, this has not been extended to views on North Korean arrivals. Meanwhile, research on views of arrivals often relies on only one measure for what are likely complex concerns. Through the use of a 2021 Korean Social Integration Survey, we find evidence of institutional and social trust positively influencing overall views of arrivals, with mixed results on the impact on proximal tolerance of arrivals, suggesting that policy efforts to enhance trust as a means to improve integration efforts may fail to produce substantive improvements for arrivals.

Regional Social Capital and Non-GAAP Earnings Disclosure

We investigate whether regional social capital is associated with a company’s discretionary disclosures of non-GAAP earnings. The US county level social capital is used to capture the informal supervisory instrument of regional social capital. The two dimensions of social capital, dense networks and strong norms in regions with high social capital, cause reciprocity, integrity, and organizational citizenship. Using a panel of US companies, we find that companies located in regions with high social capital (1) are more likely to disclose non-GAAP earnings, and (2) their non-GAAP earnings disclosures have higher quality. These findings are robust to controlling for demographic features, substitute proxies for regional social capital, and using two-stage least squares and propensity score matching approaches. Furthermore, we implement a mediator analysis and show that companies in high social capital regions have lower costs of equity capital because they are more likely to disclose non-GAAP earnings, and their disclosures are of higher quality. Overall, the findings indicate that the informal institutional factor of regional social capital is associated with the crucial voluntary disclosure tool of managers’ non-GAAP earnings.

Older people in the world of esport: a qualitative study

IntroductionThe inclusion of older players in the gaming world is growing rapidly, leading to the emergence of specific categories for them at major esport events. The aim of this study is to analyze the psychological issues faced by older people when engaging with the competitive context of esport.Materials and methodsThe study was conducted in 2021 within the French association Silver Geek, which offers digital workshops using Nintendo Wii consoles to older people living in retirement homes and organizes annual amateur competitions between teams of older adults. This qualitative study involved 16 participants (eight women, eight men) aged 63 to 97 years. Semi-structured interviews were used to explore the motivations, emotional well-being, and social impact of esport on older people.ResultsThe results show that older people who participate in esport are motivated by the discovery and mastery of new game skills, as well as the pleasure of performance through social comparison. All experience a psychological well-being that translates into intense positive emotions. Moreover, the esport context, whether during the pre-competition workshops or the competitions themselves, proved to be a strong vector for positive social relationships, especially with the young e-sports coaches. However, this activity had little impact on existing family relationships.ConclusionThis study highlights the potential of esport as a recreational activity to promote mental health and social integration in older adults. The challenge for future research is to identify the levers that will enable this activity to become a true medium for intergenerational communication.

An approach of designing a child-height-assisted robot with semi-autonomous enhances social reciprocity for children with autism spectrum disorders

Individuals with autism spectrum disorder (ASD) often face significant challenges in social reciprocity, which involves the mutual exchange of social cues and interactions. This study investigates the potential of using a child-height assistive robot named Rudolf to enhance the social reciprocity skills of children with ASD. The research focused on two main questions: how the robot’s semi-autonomous functions influence the enhancement of social reciprocity and how its customizable features elicit and improve these skills. Rudolf was specifically designed to engage children with ASD in a structured, supportive environment, offering tailored interactions to practice social reciprocity. A multiple-probe design was employed over three months to evaluate the robot’s impact on the social skills of three participants with ASD. The study revealed significant improvements in the children’s social reciprocity, with participants demonstrating increased engagement, trust, and interaction within the robot-assisted environment. The customizable functionalities of Rudolf were particularly effective in eliciting and reinforcing interactive behaviors. This research highlights the potential of assistive robots, like Rudolf, in addressing the unique social challenges faced by individuals with ASD. The findings suggest that such robots, when designed with customizable, child-centered features, can significantly enhance social skills in this population. The study contributes to the development of tailored assistive technologies that improve social integration and overall quality of life for children with ASD.