Illness, Self-Rated Health and Access to Medical Care among Waste Pickers in Landfill Sites in Johannesburg, South Africa.
chronic diseases
clinic visits
infectious diseases
mental illness
self-rated health
waste pickers
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
27 03 2020
27 03 2020
Historique:
received:
20
02
2020
revised:
23
03
2020
accepted:
24
03
2020
entrez:
2
4
2020
pubmed:
2
4
2020
medline:
24
9
2020
Statut:
epublish
Résumé
Waste pickers are exposed to various environmental health hazards, and self-rated health (SRH) could influence their medical care access. This study investigated the association between illness, clinic visits and SRH, and assessed if SRH can increase clinic visits. A cross-sectional study was conducted. SRH was defined as "very good", "good", "fair", and "poor". The illnesses were mental health, infectious, and chronic diseases. Medical care access included clinic visits in the previous 12 months. An ordinal logistic regression model was fitted to assess the association. There were 361 participants, 265 (73.41%) were males. Median age was 31 years, (interquartile range (IQR): 27-39). SRH: poor (29.89%), fair (15.92%), good (43.30%) very good (10.89%). Ever smoked (adjusted odds ratio (AOR): 1.72; 95% confidence interval (CI): 1.11-2.66), mental health (AOR: 1.87; 95% CI: 1.22-2.84), chronic (AOR: 2.34; 95% CI:1.47-3.68) and infectious (AOR: 2.07; 95% CI: 1.77-3.63) diseases were significantly associated with increased odds of reporting poor health. Clinic visit was not associated with SRH. From 99 (31%) individuals who rated their health as poor and ill, 40% visited a clinic (
Identifiants
pubmed: 32230743
pii: ijerph17072252
doi: 10.3390/ijerph17072252
pmc: PMC7177792
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
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