Alkhamis Abdulwahab A, Miraj Shaima S Ali
Department of Public Health, College of Health Sciences, Saudi Electronic University, Riyadh 11673, Saudi Arabia.
Int J Health Sci (Qassim). 2018 Jan-Feb;12(1):50-58.
The objectives were to determine whether employment-related factors had influence on physical and mental health outcomes among uninsured expatriates working in Saudi Arabia and to identify whether these factors act as facilitators or barriers to health.
Cross-sectional face-to-face interviewsusing previously published methodswere conducted among a multistage stratified cluster sample of 1370 employees as their problemsin seeking health benefits have notbeen studied. Male expatriates working in different companies representing several trades in Riyadh were selected, for which tested questionnaires were administered to them.
Among 1370 uninsured expatriates, across various tested independent variables, age and income level were having most prominent influences on self-rated perceptions of physical and mental health. Uninsured expatriates with 60 plus age group have 71% more chances ofdeteriorating physical and mental health as compared to their younger age group uninsured expatriates. The expatriates earning less than SR 2000 had 68% more chances ofhaving poor physical and mental health as compared to their counterparts earning more than SR 6000, indicating more adverse outcomes among people in low-income categories. 74% of the expatriates having maximum education were found to have better physical and emotional outcomes than the less educated ones.
The present study provides useful insights into the complex health-care system in Saudi Arabia and contributes to the exploration of health behaviors and the shaping of health perceptions among expatriates.
目的是确定与就业相关的因素是否会对在沙特阿拉伯工作的无保险外籍人士的身心健康产生影响，并确定这些因素是促进健康还是阻碍健康。
采用先前发表的方法进行横断面面对面访谈，对1370名员工的多阶段分层整群样本进行调查，因为他们在寻求健康福利方面的问题尚未得到研究。选择了在利雅得代表多个行业的不同公司工作的男性外籍人士，并向他们发放了经过测试的问卷。
在1370名无保险的外籍人士中，在各种测试的自变量中，年龄和收入水平对身心健康的自评认知影响最为显著。与年轻年龄段的无保险外籍人士相比，60岁及以上年龄段的无保险外籍人士身心健康恶化的可能性高出71%。收入低于2000里亚尔的外籍人士与收入超过6000里亚尔的外籍人士相比，身心健康状况不佳的可能性高出68%，这表明低收入人群的不良后果更多。发现74%受过最高教育的外籍人士比受教育程度较低的外籍人士有更好的身体和情绪状况。
本研究为沙特阿拉伯复杂的医疗保健系统提供了有益的见解，并有助于探索外籍人士的健康行为和健康观念的形成。
