PHASE Nepal, Kathmandu, Nepal.
University of Sheffield, Sheffield, UK.
Inquiry. 2022 Jan-Dec;59:469580221128419. doi: 10.1177/00469580221128419.
Informal waste workers are a vulnerable population group who are often socio-economically marginalized and disadvantaged, with more likelihood of experiencing ill health than the general population. To explore the determinants of mental ill health in this group, we conducted a cross-sectional survey of 1278 informal waste-workers in Nepal in 2017, using a demographic health assessment questionnaire and a modified Patient Health Questionnaire (PHQ-9). We looked at the potential associations between various exposure factors and mental health outcomes and found that 27.4% of waste-workers had depressive symptoms, more likely to be reported by female (OR 2.290), older person (OR 7.757), divorced/separated (5.859), and those with ill health (OR 2.030), or disability (OR 3.562). Waste-workers with access to social protection (OR 0.538) and financial savings (OR 0.280) were less likely to have depressive symptoms. There are key risk factors that may enable identification of particularly vulnerable persons within this group and also protective factors that may help improve their mental health resilience.
无组织废弃物工人是一个弱势群体，他们往往在社会经济上处于边缘地位，处境不利，比一般人群更容易出现健康问题。为了探讨该群体心理健康不良的决定因素，我们于 2017 年在尼泊尔对 1278 名无组织废弃物工人进行了横断面调查，使用了人口健康评估问卷和改良的患者健康问卷（PHQ-9）。我们研究了各种暴露因素与心理健康结果之间的潜在关联，发现 27.4%的废弃物工人有抑郁症状，女性（OR 2.290）、老年人（OR 7.757）、离婚/分居（OR 5.859）、健康状况不佳（OR 2.030）或残疾（OR 3.562）的人更有可能报告这种症状。有社会保护（OR 0.538）和财务储蓄（OR 0.280）的废弃物工人不太可能有抑郁症状。该群体中存在一些关键的风险因素，可以帮助识别特别脆弱的人群，同时也存在一些保护因素，可以帮助提高他们的心理健康弹性。
