학술논문

Assessing Health Seeking Behaviors and Economic Consequences of Morbidity in Indian Construction Workers: A Multicenter Study.
Document Type
Article
Source
Indian Journal of Occupational & Environmental Medicine. Jan-Mar2024, Vol. 28 Issue 1, p49-55. 11p.
Subject
*LIFESTYLES
*CROSS-sectional method
*HEALTH services accessibility
*RESEARCH funding
*SCIENTIFIC observation
*WORK environment
*BLUE collar workers
*HELP-seeking behavior
*FAMILIES
*DESCRIPTIVE statistics
*DISEASES
*ODDS ratio
*HEALTH behavior
*RESEARCH
*SOCIODEMOGRAPHIC factors
*CONSTRUCTION industry
*PSYCHOSOCIAL factors
*INDUSTRIAL hygiene
*MEDICAL care costs
*POVERTY
*ECONOMICS
Language
ISSN
0973-2284
Abstract
Background: Construction laborers succumb to poor health due to the inherent workplace health hazards and poor socio-economic living conditions. With rising healthcare expenses, the increased risk of poor health may aggravate their economic status, pushing them deeper into poverty. Settings and Design: The current cross-sectional multicenter study comprehensively investigated the determinants of health, health-seeking behavior, and poor economic impact regarding catastrophic health expenditure (CHE) among construction laborers. Methods and Material: We collected details on illnesses among self and family members of the construction laborers that required healthcare visits during the previous year and their approximate expenses. Among the 1110 participants with complete data, 37% reported illness requiring a healthcare visit either for self or a family member. Results: Regression models to ascertain demographic and living condition determinants of perceived illness revealed an increased risk of illness when the kitchen is shared with the living space (OR = 1.87) and use unhygienic smoky cooking fuels (OR = 1.87). More than 25% of those who reported illness incurred CHE. Conclusion: We conclude that the frequency of perceived illness and the economic impact, i.e., CHE is relatively higher among the construction laborers. Our results demonstrate that poor living conditions add to the burden of morbidity in construction workers and families. Providing healthcare coverage for this population and engaging and educating them about affordable healthcare are necessary future steps to prevent the worsening of the economic situation. [ABSTRACT FROM AUTHOR]