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Article

Illness, Self-Rated Health and Access to Medical Care among Waste Pickers in Landfill Sites in Johannesburg, South Africa

1
Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa
2
Faculty of Health Sciences, School of Public Health, University of Witwatersrand, Johannesburg 2000, South Africa
3
Department of Environmental Heath, Faculty of Health Sciences, University of Johannesburg, Johannesburg 2000, South Africa
4
Environment and Health Research Unit, South African Medical Research Council, Johannesburg 2000, South Africa
5
Occupational Medicine Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(7), 2252; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072252
Received: 20 February 2020 / Revised: 23 March 2020 / Accepted: 24 March 2020 / Published: 27 March 2020
(This article belongs to the Special Issue Air Pollution: Occupational Exposure and Public Health)
Waste pickers are exposed to various environmental health hazards, and self-rated health (SRH) could influence their medical care access. This study investigated the association between illness, clinic visits and SRH, and assessed if SRH can increase clinic visits. A cross-sectional study was conducted. SRH was defined as “very good”, “good”, “fair”, and “poor”. The illnesses were mental health, infectious, and chronic diseases. Medical care access included clinic visits in the previous 12 months. An ordinal logistic regression model was fitted to assess the association. There were 361 participants, 265 (73.41%) were males. Median age was 31 years, (interquartile range (IQR): 27–39). SRH: poor (29.89%), fair (15.92%), good (43.30%) very good (10.89%). Ever smoked (adjusted odds ratio (AOR): 1.72; 95% confidence interval (CI): 1.11–2.66), mental health (AOR: 1.87; 95% CI: 1.22–2.84), chronic (AOR: 2.34; 95% CI:1.47–3.68) and infectious (AOR: 2.07; 95% CI: 1.77–3.63) diseases were significantly associated with increased odds of reporting poor health. Clinic visit was not associated with SRH. From 99 (31%) individuals who rated their health as poor and ill, 40% visited a clinic (p = 0.0606). Acute and chronic illnesses were associated with poor SRH but this did not increase clinic visits. Provision of mobile clinic services at the landfill sites could increase access to medical care. View Full-Text
Keywords: mental illness; infectious diseases; chronic diseases; clinic visits; self-rated health; waste pickers mental illness; infectious diseases; chronic diseases; clinic visits; self-rated health; waste pickers
MDPI and ACS Style

Made, F.; Ntlebi, V.; Kootbodien, T.; Wilson, K.; Tlotleng, N.; Mathee, A.; Ndaba, M.; Kgalamono, S.; Naicker, N. Illness, Self-Rated Health and Access to Medical Care among Waste Pickers in Landfill Sites in Johannesburg, South Africa. Int. J. Environ. Res. Public Health 2020, 17, 2252. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072252

AMA Style

Made F, Ntlebi V, Kootbodien T, Wilson K, Tlotleng N, Mathee A, Ndaba M, Kgalamono S, Naicker N. Illness, Self-Rated Health and Access to Medical Care among Waste Pickers in Landfill Sites in Johannesburg, South Africa. International Journal of Environmental Research and Public Health. 2020; 17(7):2252. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072252

Chicago/Turabian Style

Made, Felix, Vusi Ntlebi, Tahira Kootbodien, Kerry Wilson, Nonhlanhla Tlotleng, Angela Mathee, Mpume Ndaba, Spo Kgalamono, and Nisha Naicker. 2020. "Illness, Self-Rated Health and Access to Medical Care among Waste Pickers in Landfill Sites in Johannesburg, South Africa" International Journal of Environmental Research and Public Health 17, no. 7: 2252. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17072252

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