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孟加拉国成衣工人的健康痛苦、医疗寻求行为、健康保险意识和健康相关权利:一项横断面研究的结果。

Health sufferings, healthcare seeking behavior, awareness about health insurance, and health related rights of ready made garments workers in Bangladesh: Findings from a cross-sectional study.

机构信息

BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.

BRAC Urban Development Programme, BRAC, Dhaka, Bangladesh.

出版信息

J Occup Health. 2021 Jan;63(1):e12256. doi: 10.1002/1348-9585.12256.

DOI:10.1002/1348-9585.12256
PMID:34382289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8357819/
Abstract

OBJECTIVES

This study aimed at examining health sufferings of readymade garments (RMG) workers, the factors that affect their health sufferings, their healthcare seeking pattern, knowledge about health insurance and health related rights in Bangladesh.

METHODS

A cross-sectional study was conducted among 486 RMG workers recruited randomly from eight garments factories located on the periphery of Dhaka, Bangladesh. The prevalence of musculoskeletal pain, headache, fever and abdominal pain was estimated and multivariable logistic regression analysis was performed to examine association between these illnesses of workers and their socio-demographic characteristics and other work related information. We also explored their healthcare seeking patterns, knowledge about health insurance and health related rights.

RESULTS

The prevalence of musculoskeletal pain, headache, fever and abdominal pain was found to be 78.1%, 57.9%, 52.2% and 24.6%, respectively, among the RMG workers. Factors that increased the odds of: musculoskeletal pain were working for more than 10 h per day (adjusted odds ratio [AOR]: 2.3, 95% confidence interval [CI]: 1.1-4.7) and being female [AOR: 4.6, 95% CI: 2.0-10.6]; fever was living in slums [AOR: 1.9, 95% CI: 1.1-3.5]; and abdominal pain was being female [AOR: 3.6, 95% CI: 1.4-9.3]. The workers commonly reported visiting drug sellers in local pharmacies for reported illnesses. They also had better knowledge of health related rights but poor knowledge of health insurance.

CONCLUSION

In order to address the overall health and well-being of the RMG workers, it is imperative to lay out a blueprint for a safe and healthy workplace.

摘要

目的

本研究旨在调查孟加拉国成衣工人(RMG)的健康痛苦、影响其健康痛苦的因素、他们的医疗保健寻求模式、对健康保险和健康相关权利的了解。

方法

在孟加拉国首都达卡周边的 8 家服装厂,随机招募了 486 名 RMG 工人进行横断面研究。估计了肌肉骨骼疼痛、头痛、发热和腹痛的患病率,并进行了多变量逻辑回归分析,以检查工人的这些疾病与他们的社会人口统计学特征和其他工作相关信息之间的关联。我们还探讨了他们的医疗保健寻求模式、对健康保险和健康相关权利的了解。

结果

RMG 工人中肌肉骨骼疼痛、头痛、发热和腹痛的患病率分别为 78.1%、57.9%、52.2%和 24.6%。增加肌肉骨骼疼痛几率的因素有:每天工作超过 10 小时(调整后的优势比 [AOR]:2.3,95%置信区间 [CI]:1.1-4.7)和女性(AOR:4.6,95% CI:2.0-10.6);发热的因素是居住在贫民窟(AOR:1.9,95% CI:1.1-3.5);腹痛的因素是女性(AOR:3.6,95% CI:1.4-9.3)。工人通常因报告的疾病而去当地药店的药贩处就诊。他们对健康相关权利的了解较好,但对健康保险的了解较差。

结论

为了提高 RMG 工人的整体健康和福祉,制定安全健康的工作场所蓝图势在必行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c7/8357819/92d27d5b8ccb/JOH2-63-e12256-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c7/8357819/3c3959fc5506/JOH2-63-e12256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c7/8357819/60f29f4e6a3e/JOH2-63-e12256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c7/8357819/d0de729d0181/JOH2-63-e12256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c7/8357819/92d27d5b8ccb/JOH2-63-e12256-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c7/8357819/3c3959fc5506/JOH2-63-e12256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c7/8357819/60f29f4e6a3e/JOH2-63-e12256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c7/8357819/d0de729d0181/JOH2-63-e12256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55c7/8357819/92d27d5b8ccb/JOH2-63-e12256-g004.jpg

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