IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i7p2252-d337652.html
   My bibliography  Save this article

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

Author

Listed:
  • Felix Made

    (Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa
    Faculty of Health Sciences, School of Public Health, University of Witwatersrand, Johannesburg 2000, South Africa)

  • Vusi Ntlebi

    (Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa)

  • Tahira Kootbodien

    (Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa)

  • Kerry Wilson

    (Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa
    Faculty of Health Sciences, School of Public Health, University of Witwatersrand, Johannesburg 2000, South Africa)

  • Nonhlanhla Tlotleng

    (Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa
    Faculty of Health Sciences, School of Public Health, University of Witwatersrand, Johannesburg 2000, South Africa)

  • Angela Mathee

    (Faculty of Health Sciences, School of Public Health, University of Witwatersrand, Johannesburg 2000, South Africa
    Department of Environmental Heath, Faculty of Health Sciences, University of Johannesburg, Johannesburg 2000, South Africa
    Environment and Health Research Unit, South African Medical Research Council, Johannesburg 2000, South Africa)

  • Mpume Ndaba

    (Occupational Medicine Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa)

  • Spo Kgalamono

    (Faculty of Health Sciences, School of Public Health, University of Witwatersrand, Johannesburg 2000, South Africa
    Occupational Medicine Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa)

  • Nisha Naicker

    (Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory Service, Johannesburg 2000, South Africa
    Faculty of Health Sciences, School of Public Health, University of Witwatersrand, Johannesburg 2000, South Africa
    Environment and Health Research Unit, South African Medical Research Council, Johannesburg 2000, South Africa)

Abstract

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.

Suggested Citation

  • Felix Made & Vusi Ntlebi & Tahira Kootbodien & Kerry Wilson & Nonhlanhla Tlotleng & Angela Mathee & Mpume Ndaba & Spo Kgalamono & Nisha Naicker, 2020. "Illness, Self-Rated Health and Access to Medical Care among Waste Pickers in Landfill Sites in Johannesburg, South Africa," IJERPH, MDPI, vol. 17(7), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2252-:d:337652
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/7/2252/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/7/2252/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Linda Godfrey & Suzan Oelofse, 2017. "Historical Review of Waste Management and Recycling in South Africa," Resources, MDPI, vol. 6(4), pages 1-11, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Asif Iqbal & Abdullah Yasar & Abdul-Sattar Nizami & Rafia Haider & Faiza Sharif & Imran Ali Sultan & Amtul Bari Tabinda & Aman Anwer Kedwaii & Muhammad Murtaza Chaudhary, 2022. "Municipal Solid Waste Collection and Haulage Modeling Design for Lahore, Pakistan: Transition toward Sustainability and Circular Economy," Sustainability, MDPI, vol. 14(23), pages 1-39, December.
    2. Giovanni Vinti & Valerie Bauza & Thomas Clasen & Kate Medlicott & Terry Tudor & Christian Zurbrügg & Mentore Vaccari, 2021. "Municipal Solid Waste Management and Adverse Health Outcomes: A Systematic Review," IJERPH, MDPI, vol. 18(8), pages 1-26, April.
    3. Yıldız, Taşkın Deniz & Güner, Mehmet Oğuz & Kural, Orhan, 2024. "Effects of EU-Compliant mining waste regulation on Turkish mining sector: A review of characterization, classification, storage, management, recovery of mineral wastes," Resources Policy, Elsevier, vol. 90(C).
    4. Dorothea Christina Schoeman & Isaac Tebogo Rampedi, 2022. "Drivers of Household Recycling Behavior in the City of Johannesburg, South Africa," IJERPH, MDPI, vol. 19(10), pages 1-20, May.
    5. Rafael Ziegler & Cynthia Poirier & Marie Lacasse & Evan Murray, 2023. "Circular Economy and Cooperatives—An Exploratory Survey," Sustainability, MDPI, vol. 15(3), pages 1-17, January.
    6. Iuliia Plastinina & Lyudmila Teslyuk & Nataliya Dukmasova & Elena Pikalova, 2019. "Implementation of Circular Economy Principles in Regional Solid Municipal Waste Management: The Case of Sverdlovskaya Oblast (Russian Federation)," Resources, MDPI, vol. 8(2), pages 1-18, May.
    7. Siyanda Yamba & Nomso C. Hintsho-Mbita & Tunde L. Yusuf & Richard Moutloali & Nonhlangabezo Mabuba, 2022. "Sulphate Removal in Industrial Effluents Using Electrocoagulation Sludge as an Adsorbent," Sustainability, MDPI, vol. 14(19), pages 1-16, September.
    8. Tariro Shiri & Nonso E. Nnolim & Uchechukwu U. Nwodo, 2023. "Delipidation of Chicken Feathers by Lipolytic Bacillus Species Isolated from River-Borne Sediments," Clean Technol., MDPI, vol. 5(4), pages 1-13, October.
    9. Ntobeko Mlotshwa & Tanya Dayaram & Asiphile Khanyile & Princess A. Sibanda & Kira Erwin & Tamlynn Fleetwood, 2022. "Working with Waste: Hazards and Mitigation Strategies Used by Waste Pickers in the Inner City of Durban," IJERPH, MDPI, vol. 19(20), pages 1-12, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2252-:d:337652. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.