Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
Front Public Health. 2021 Sep 24;9:720006. doi: 10.3389/fpubh.2021.720006. eCollection 2021.
The amount of waste generated has been increasing over the years. Meanwhile, the capacity of solid waste management facilities (SWMFs) for waste disposal does not meet the needs, resulting in adverse consequences on the natural environment and health of residents living near these plants, which can significantly degrade their quality of life (QoL). This study aims to evaluate the QoL of residents living near an SWMF and the potential impacts it has on the residents. A cross-sectional descriptive study was conducted involving 801 subjects, aged 18 and above, who live near the SWMF of Hue City, Vietnam. The QoL of the subjects was quantitatively assessed using the WHO QoL assessment scale (WHOQOL-BREF). The general, health, and environmental factors influencing QoL were identified using bivariate and multivariate logistic regression analyses. About 22.6% of the subjects had a good QoL. In particular, the proportions for good psychological health (6.9%) and environment (13.6%) were low, indicating an influence of the SWMF. Significant factors that degraded the QoL of residents were less education defined by not graduating from high school (odds ratio, OR = 2.78; 95% CI = 1.09-7.06), poor health status (OR = 2.50; 95% CI: 1.56-4.01), dissatisfaction with water quality (OR = 2.41; 95% CI: 1.10-5.25), and unacceptance of the SWMF presence (OR = 1.70; 95% CI: 1.11-2.60). Moreover, subjects living within 2 km of the plant had dermatological diseases and digestive disorders more frequently than those who lived away from the plant. They also reported more complaints regarding water, air, and soil quality, which were likely due to the operation of the SWMF. Burying and disposing of solid waste at the SWMF might lead to the degradation of the surrounding water and soil environments, and its collection and transportation are considered to cause odor and dust. The efforts of responsible authorities to strictly supervise and inspect these activities at the SWMF are essential, not only to protect the surrounding environment but also to improve the QoL of those who live nearby these plants.
多年来，产生的废物量一直在增加。与此同时，固体废物管理设施（SWMF）的废物处理能力无法满足需求，对居住在这些工厂附近的居民的自然环境和健康造成了不利影响，这可能会大大降低他们的生活质量（QoL）。本研究旨在评估居住在 SWMF 附近的居民的生活质量及其对居民的潜在影响。
一项涉及越南顺化市 SWMF 附近 801 名 18 岁及以上居民的横断面描述性研究使用世界卫生组织生活质量评估量表（WHOQOL-BREF）对居民的生活质量进行了定量评估。使用双变量和多变量逻辑回归分析确定了影响生活质量的一般、健康和环境因素。约 22.6%的研究对象生活质量良好。特别是，心理健康和环境的良好比例较低，分别为 6.9%和 13.6%，表明 SWMF 有影响。降低居民生活质量的显著因素是未完成高中学业（优势比[OR] = 2.78；95%置信区间[CI]：1.09-7.06）、健康状况较差（OR = 2.50；95%CI：1.56-4.01）、对水质不满意（OR = 2.41；95%CI：1.10-5.25）和不接受 SWMF 存在（OR = 1.70；95%CI：1.11-2.60）。此外，居住在距离工厂 2 公里以内的居民比居住在距离工厂较远的居民更频繁地出现皮肤病和消化系统疾病。他们还报告了更多关于水、空气和土壤质量的投诉，这可能是由于 SWMF 的运行造成的。SWMF 掩埋和处理固体废物可能会导致周围水和土壤环境退化，其收集和运输被认为会产生气味和灰尘。负责当局必须严格监督和检查 SWMF 的这些活动，不仅要保护周围环境，还要提高居住在这些工厂附近的人的生活质量。
