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Impact of social determinants on well-being of urban construction workers of Hyderabad

BACKGROUND: Hyderabad has witnessed one of the largest labor immigration in recent years and these construction workers are highly vulnerable in terms of health. Social determinants of health (SDH) arise from conditions in which they live and these factors interact with each other to produce direct...

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Autores principales: Bala, Sudha, Valsangkar, Sameer, Lakshman Rao, Reshaboyina Lakshmi Narayana, Surya Prabha, Manem Lakshmi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4922269/
https://www.ncbi.nlm.nih.gov/pubmed/27390473
http://dx.doi.org/10.4103/0019-5278.183828
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author Bala, Sudha
Valsangkar, Sameer
Lakshman Rao, Reshaboyina Lakshmi Narayana
Surya Prabha, Manem Lakshmi
author_facet Bala, Sudha
Valsangkar, Sameer
Lakshman Rao, Reshaboyina Lakshmi Narayana
Surya Prabha, Manem Lakshmi
author_sort Bala, Sudha
collection PubMed
description BACKGROUND: Hyderabad has witnessed one of the largest labor immigration in recent years and these construction workers are highly vulnerable in terms of health. Social determinants of health (SDH) arise from conditions in which they live and these factors interact with each other to produce direct impact on health. OBJECTIVES: (1) To evaluate the sociodemographic and job characteristics of the construction workers. (2) To assess the impact of social determinants on well-being. MATERIALS AND METHODS: A sample size of 135 construction workers working at three sites of HITEC city were interviewed using semi-structured questionnaire. Health perception and the impact on well-being was measured using the Healthy Days Module and Kessler's Psychological Distress Scale. SDH were measured on a 27-item questionnaire with responses on a Likert scale ranging from 0 to 4. Proportions, percentages, P values, and mean scores were obtained. RESULTS: The mean age of the sample was 35.4 ± 11.94 years. Seventeen (12.6%) of the workers reported a high risk score on the Kessler's Psychological Distress Scale. Binary logistic regression analysis was used to identify significant domains of social determinants independently associated with the well being of construction workers and significant among the nine domains of social determinants were addiction score domain with odds of 2.259 and a P value of 0.015 and the distress domain with odds of 1.108 and a P < 0.001. CONCLUSIONS: There is a significant impairment of physical and mental health due to various factors including SDH, such as addictive habits and psychological distress, which are amenable to prevention.
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spelling pubmed-49222692016-07-07 Impact of social determinants on well-being of urban construction workers of Hyderabad Bala, Sudha Valsangkar, Sameer Lakshman Rao, Reshaboyina Lakshmi Narayana Surya Prabha, Manem Lakshmi Indian J Occup Environ Med Original Article BACKGROUND: Hyderabad has witnessed one of the largest labor immigration in recent years and these construction workers are highly vulnerable in terms of health. Social determinants of health (SDH) arise from conditions in which they live and these factors interact with each other to produce direct impact on health. OBJECTIVES: (1) To evaluate the sociodemographic and job characteristics of the construction workers. (2) To assess the impact of social determinants on well-being. MATERIALS AND METHODS: A sample size of 135 construction workers working at three sites of HITEC city were interviewed using semi-structured questionnaire. Health perception and the impact on well-being was measured using the Healthy Days Module and Kessler's Psychological Distress Scale. SDH were measured on a 27-item questionnaire with responses on a Likert scale ranging from 0 to 4. Proportions, percentages, P values, and mean scores were obtained. RESULTS: The mean age of the sample was 35.4 ± 11.94 years. Seventeen (12.6%) of the workers reported a high risk score on the Kessler's Psychological Distress Scale. Binary logistic regression analysis was used to identify significant domains of social determinants independently associated with the well being of construction workers and significant among the nine domains of social determinants were addiction score domain with odds of 2.259 and a P value of 0.015 and the distress domain with odds of 1.108 and a P < 0.001. CONCLUSIONS: There is a significant impairment of physical and mental health due to various factors including SDH, such as addictive habits and psychological distress, which are amenable to prevention. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4922269/ /pubmed/27390473 http://dx.doi.org/10.4103/0019-5278.183828 Text en Copyright: © Indian Journal of Occupational and Environmental Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Bala, Sudha
Valsangkar, Sameer
Lakshman Rao, Reshaboyina Lakshmi Narayana
Surya Prabha, Manem Lakshmi
Impact of social determinants on well-being of urban construction workers of Hyderabad
title Impact of social determinants on well-being of urban construction workers of Hyderabad
title_full Impact of social determinants on well-being of urban construction workers of Hyderabad
title_fullStr Impact of social determinants on well-being of urban construction workers of Hyderabad
title_full_unstemmed Impact of social determinants on well-being of urban construction workers of Hyderabad
title_short Impact of social determinants on well-being of urban construction workers of Hyderabad
title_sort impact of social determinants on well-being of urban construction workers of hyderabad
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4922269/
https://www.ncbi.nlm.nih.gov/pubmed/27390473
http://dx.doi.org/10.4103/0019-5278.183828
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