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加纳电子垃圾处理工人的就医行为。

Health seeking behaviours among electronic waste workers in Ghana.

作者信息

Asampong Emmanuel, Dwuma-Badu Kwaku, Stephens Judith, Srigboh Roland, Neitzel Richard, Basu Niladri, Fobil Julius N

机构信息

Department of Social & Behavioural Sciences, School of Public Health, University of Ghana, Accra, Ghana.

Medical Unit, Ghana Post Company Limited, Accra, Ghana.

出版信息

BMC Public Health. 2015 Oct 16;15:1065. doi: 10.1186/s12889-015-2376-z.

Abstract

BACKGROUND

Electronic waste workers are prone to various illnesses and injuries from numerous hazards thus the need for them to seek health care. The aim of this study was to describe health-seeking behavior, and social and other factors affecting this behavior, among electronic waste workers at Agbogbloshie, Accra, Ghana.

METHODS

In-depth interviews were conducted and analyzed qualitatively from a grounded theory perspective.

RESULTS

Workers experienced various kinds of ailments. These included physical injuries, chest and respiratory tract associated symptoms, malaria, headaches, body pains and stomach discomfort. They reported seeking health care from multiple sources, and the main determinants of health seeking behaviour were severity of illness, perceived benefit of treatment, accessibility of service, quality of service, ease of communication with service provider and cost of health care.

CONCLUSION

Multiple sources of health care were used by the e-waste workers. As cost was a major barrier to accessing formal health care, most of the workers did not subscribe to health insurance. Since enrollment in health insurance is low amongst the workers, education campaigns on the need to register with the National Health Insurance Scheme would facilitate access to formal health care and could result in improved health outcomes among e-waste workers.

摘要

背景

电子垃圾处理工人容易因众多危害而患上各种疾病和受伤,因此他们需要寻求医疗保健。本研究的目的是描述加纳阿克拉阿博布罗西的电子垃圾处理工人的就医行为以及影响这种行为的社会和其他因素。

方法

进行了深入访谈,并从扎根理论的角度进行了定性分析。

结果

工人们经历了各种疾病。这些疾病包括身体损伤、胸部和呼吸道相关症状、疟疾、头痛、身体疼痛和胃部不适。他们报告从多个渠道寻求医疗保健,就医行为的主要决定因素是疾病的严重程度、治疗的预期益处、服务的可及性、服务质量、与服务提供者沟通的便利性以及医疗保健费用。

结论

电子垃圾处理工人使用多种医疗保健渠道。由于费用是获得正规医疗保健的主要障碍,大多数工人没有参加医疗保险。鉴于工人中医疗保险参保率较低,开展关于向国家医疗保险计划登记必要性的教育活动将有助于获得正规医疗保健,并可能改善电子垃圾处理工人的健康状况。

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