Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam.
Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam.
Int J Environ Res Public Health. 2019 Apr 28;16(9):1502. doi: 10.3390/ijerph16091502.
Vietnam has experienced massive internal migration waves from rural to industrialized zones. However, little efforts have been made to understand differences in health conditions and health-related quality of life (HRQOL) between local and migrant industrial workers. This study aimed to examine the inequality in health status and HRQOL between these workers. We conducted a cross-sectional study of 289 Vietnamese workers at three industrial areas in Hanoi and Bac Ninh. Self-reported health status and HRQOL were measured using the EuroQOL-5 dimensions-5 levels (EQ-5D-5L) instrument. Sociodemographic, working, and environmental factors were also investigated. Overall, the mean EQ-5D index was 0.74 (SD = 0.21) and the average number of health problems in the last 12 months in our sample was 1.91 (SD = 1.63) problems. Migrant people had a lower EQ-5D index (β = -0.08, < 0.01) and more health problems (β = 0.20, < 0.05) compared to local workers. Those being male, working in the same posture more than 60 min, and exposed to more hazards at work were correlated with a lower EQ-5D index and higher number of health problems. The results highlighted inequalities in health status and HRQOL between migrant and local workers. Reinforcing regular health check-ups, ensuring sufficient protective equipment and working conditions may help improve the health outcomes of the workers.
越南经历了大规模的农村向工业化地区的内部移民浪潮。然而，对于理解本地和移民产业工人之间健康状况和健康相关生活质量（HRQOL）的差异，几乎没有做出任何努力。本研究旨在研究这些工人之间健康状况和 HRQOL 的不平等。我们对河内和北宁的三个工业区的 289 名越南工人进行了横断面研究。使用欧洲五维健康量表-5 水平（EQ-5D-5L）工具来衡量自我报告的健康状况和 HRQOL。还调查了社会人口统计学、工作和环境因素。总体而言，EQ-5D 指数的平均值为 0.74（SD = 0.21），样本中过去 12 个月的平均健康问题数为 1.91（SD = 1.63）个问题。与本地工人相比，移民工人的 EQ-5D 指数较低（β = -0.08，<0.01），健康问题更多（β = 0.20，<0.05）。男性、同一姿势工作超过 60 分钟和在工作中暴露于更多危害与 EQ-5D 指数较低和健康问题较多有关。研究结果突出了移民和本地工人之间在健康状况和 HRQOL 方面的不平等。加强定期健康检查，确保有足够的防护设备和工作条件，可能有助于改善工人的健康结果。
