Omokhodion F O, Omokhodion S L
Department of Community Medicine, University College Hospital, Ibadan, Nigeria.
Afr J Med Med Sci. 2001 Mar-Jun;30(1-2):81-5.
A cross sectional study was conducted on child workers in a large market in Ibadan to determine their social and demographic characteristics and identify their health problems. Two hundred and twenty-five children were interviewed using a questionnaire which sought information on demographic characteristics, occupational and marital status of parents and educational status of children. Information on current illness and injuries occurring within the last three months was obtained. Interview was followed by a physical examination, measurement of packed cell volume and urine examination for schistosoma ova. Of the total of 225 children interviewed 132 (59%) were females and 93 (41%) were males. One hundred and twenty four (55%) of them were from monogamous homes and 95 (42%) were from polygamous homes. Six children did not give a response to this question. Thirty two (14%) had lost one parent. One hundred and sixty three (72%) lived with their parents, 55 (24%) lived with relations, 7(3%) lived with non relatives and 1 lived on the street. One hundred and three (46%) were currently in school, 117 (52%) were out of school and 5 (2%) had never been to school. The most common reason for taking up child work was to earn money needed by parents. Sixty-four children (28%) reported that they had injuries at the time of the survey. Current health problems reported were skin infection (12%), diarrhoea (3%), fever (21%), upper respiratory tract infection (15%), visual problems 4% and musculoskeletal disorders (19%). Thirty six percent ofthese children were underweight. Thirty one children (14%) had schistosoma ova in their urine. One hundred and nineteen children (53%) had at least one health problem. The prevalence of at least one health problem was higher among children who were out of school compared to those in school, 61% and 48% respectively (P < 0.05). The factors responsible for the health and social problems of child workers are complex and the solutions are not simple. Provision of free education by the government will greatly reduce the financial burden on parents and may reduce the number of children on the streets. School attendance and concomitant improvement in parental care may improve the health status of these children.
在伊巴丹的一个大市场对童工进行了一项横断面研究,以确定他们的社会和人口特征,并找出他们的健康问题。使用一份问卷对225名儿童进行了访谈,该问卷旨在获取有关人口特征、父母职业和婚姻状况以及儿童教育状况的信息。获取了有关最近三个月内当前疾病和受伤情况的信息。访谈之后进行了体格检查、红细胞压积测量和血吸虫卵尿检。在接受访谈的225名儿童中,132名(59%)为女性,93名(41%)为男性。其中124名(55%)来自一夫一妻制家庭,95名(42%)来自一夫多妻制家庭。6名儿童未回答这个问题。32名(14%)儿童失去了一位家长。163名(72%)与父母同住,55名(24%)与亲属同住,7名(3%)与非亲属同住,1名流落街头。103名(46%)目前在上学,117名(52%)辍学,5名(2%)从未上学。从事童工工作的最常见原因是赚取父母所需的钱。64名儿童(28%)报告在调查时受过伤。报告的当前健康问题有皮肤感染(12%)、腹泻(3%)、发烧(21%)、上呼吸道感染(15%)、视力问题(4%)和肌肉骨骼疾病(19%)。这些儿童中有36%体重不足。31名儿童(14%)尿液中有血吸虫卵。119名儿童(53%)至少有一个健康问题。与在校儿童相比,辍学儿童中至少有一个健康问题的患病率更高,分别为61%和48%(P<0.05)。导致童工健康和社会问题的因素很复杂,解决办法也不简单。政府提供免费教育将大大减轻父母的经济负担,并可能减少流落街头的儿童数量。上学以及随之而来的父母照顾的改善可能会改善这些儿童的健康状况。