Joarder Taufique, Shimul Shafiun N, Hasan Md Imran, Yeasmin Farjana, Islam Anwar
Epidemiology and Public Health, FHI 360 Bangladesh, Dhaka, BGD.
Miscellaneous, Institute of Health Economics, University of Dhaka, Dhaka, BGD.
Cureus. 2019 Sep 24;11(9):e5742. doi: 10.7759/cureus.5742.
Introduction There has been disagreement within academia in Bangladesh on whether the global economic recession of 2008-2009 came out as a bane or a boon to their economy and for their people, particularly workers in the ready-made garments (RMG) sector; therefore, we sought to conduct a study among currently employed and recently unemployed RMG workers to examine the influence of recession on their self-reported health status. Methods This cross-sectional study was conducted among 200 workers across 20 factories and 108 recently unemployed workers from different locations of Dhaka. Workers were selected based on a systematic sampling method from 20 randomly selected factories. Unemployed respondents were selected via snowball sampling. A questionnaire was prepared to cover different socio-demographic variables, which were then explored against an outcome variable of how the respondents rate their current health status (2009) compared with their past health status during the economic recession period (2008). A simple logistic regression was conducted for each of the independent variables with the outcome variable. Finally, all independent variables were loaded against the outcome variable, and multiple logistic regression was run. Results The only statistically significant predictor of self-reported health status was age, which indicated a 4% decrease (p = 0.05; 95% confidence interval (CI), 0.9203417 to 1.000015) in improved or better health with each year increase in age, holding other variables constant. Respondent health status was unchanged or even improved after the period of recession. The employed group had 1542.061 Taka (approximately $20) more average monthly family income than the unemployed group (two-sample t-test p-value 0.007), their health status was not affected (odds ratio (OR) 0.998; p-value 0.907). Conclusion The absence of an association between self-reported health status and economic recession is not uncommon, and explanations have been proposed for this phenomenon.
引言
孟加拉国学术界对于2008 - 2009年全球经济衰退对其经济以及人民，尤其是对成衣（RMG）行业工人而言，究竟是祸还是福存在分歧；因此，我们试图对目前在职和近期失业的RMG工人进行一项研究，以考察衰退对他们自我报告的健康状况的影响。
方法
这项横断面研究在20家工厂的200名工人以及来自达卡不同地点的108名近期失业工人中进行。工人是基于系统抽样方法从20家随机选取的工厂中挑选出来的。失业受访者是通过滚雪球抽样选取的。准备了一份问卷以涵盖不同的社会人口统计学变量，然后针对一个结果变量进行探究，即受访者如何将他们当前（2009年）的健康状况与经济衰退时期（2008年）过去的健康状况进行评分。对每个自变量与结果变量进行了简单逻辑回归。最后，将所有自变量与结果变量进行对比，并进行了多元逻辑回归。
结果
自我报告健康状况的唯一具有统计学显著意义的预测因素是年龄，这表明在其他变量保持不变的情况下，年龄每增加一岁，健康状况改善或变好的几率会降低4%（p = 0.05；95%置信区间（CI），0.9203417至1.000015）。衰退期过后，受访者的健康状况没有改变甚至有所改善。在职组的平均月家庭收入比失业组多1542.061塔卡（约合20美元）（两样本t检验p值为0.007），但其健康状况并未受到影响（优势比（OR）为0.998；p值为0.907）。
结论
自我报告的健康状况与经济衰退之间不存在关联这种情况并不罕见，并且针对这一现象已经提出了解释。
