Disaster Preparedness, Mitigation, and Management, School of Engineering and Technology and School of Environment, Resources and Development, Asian Institute of Technology (AIT), TH.
Gender and Development Studies, School of Environment, Resources and Development, Asian Institute of Technology (AIT), TH.
Ann Glob Health. 2020 May 5;86(1):48. doi: 10.5334/aogh.2589.
Natural hazards, poor socio-economic conditions, low literacy levels, and long-standing conflicts affect traditional gold miners in Sudan and contribute to multiple health vulnerabilities. An extensive survey reveals differential health risk among internal migrant miners leading to short-, medium-, and long-term health consequences and disparities. The need to identify determinants of health behavior and limited prior research on internal migrants involved in traditional gold mining in Sudan motivated this research.
To investigate potential health disparities between internal migrant workers participating in traditional gold mining and their local counterparts.
Questionnaires on socio-demographic and health status in the Abideya area in the River Nile state of Sudan were administered to 211 miners. Composite score variables were devised based on existing literature and data for assessment of underlying risk determinants for the miners' vulnerability (migrants and non-migrants). Six new composite variables were constructed and subjected to analysis by immigration status.
There are disparities in drivers of health behavior related to the immigration status of traditional gold miners. Access to water, sanitation, and hygiene services are common determinants for the health behavior of both internal migrant miners (p < 0.001) and their local counterparts (p < 0.001). However, knowledge (p < 0.05) and perception (p < 0.05) are additional critical determinants for the health behavior of local miners, while education (secondary, p < 0.01) is an additional modifier for the immigrants' health behavior.
The outcomes of this field-based research suggest increased awareness and risk perceptions among migrants could improve health-related behaviors. The study advocates for policymaking and implementation of health programs at all levels to reduce health disparities between migrants and non-migrants, improving the health status of the entire community.
自然灾害、贫困的社会经济条件、低识字率以及长期存在的冲突影响了苏丹的传统采金者，导致他们面临多种健康风险。一项广泛的调查揭示了内部移民矿工之间存在不同的健康风险，导致短期、中期和长期的健康后果和差异。需要确定健康行为的决定因素，以及苏丹传统采金领域内部移民的有限先前研究促使了这项研究。
调查参与传统采金的内部移民工人与当地工人之间潜在的健康差异。
在苏丹尼罗河州的阿比德雅地区，对 211 名矿工进行了社会人口学和健康状况的问卷调查。根据现有文献和数据，设计了综合评分变量，以评估矿工脆弱性的潜在风险决定因素（移民和非移民）。构建了六个新的综合变量，并根据移民身份进行分析。
与传统采金矿工的移民身份相关的健康行为驱动因素存在差异。获得水、卫生和个人卫生服务是内部移民矿工（p<0.001）和当地矿工（p<0.001）健康行为的共同决定因素。然而，知识（p<0.05）和感知（p<0.05）是当地矿工健康行为的其他关键决定因素，而教育（中学，p<0.01）是移民健康行为的附加修饰符。
这项基于实地的研究结果表明，提高移民的意识和风险认知可以改善与健康相关的行为。该研究主张在各级制定和实施卫生政策和方案，以减少移民和非移民之间的健康差异，改善整个社区的健康状况。
