Factors associated with self-rated health among migrant workers: results from a population-based cross-sectional study in Almaty, Kazakhstan.

Pam Kumparatana, Francine Cournos, Assel Terlikbayeva, Yelena Rozental, Louisa Gilbert
Author Information
  1. Pam Kumparatana: Mailman School of Public Health, Columbia University, New York, NY, USA. pkumparatana@caa.columbia.edu.
  2. Francine Cournos: Mailman School of Public Health, Columbia University, New York, NY, USA.
  3. Assel Terlikbayeva: Global Health Research Center of Central Asia (GHRCCA), Almaty, Kazakhstan.
  4. Yelena Rozental: Global Health Research Center of Central Asia (GHRCCA), Almaty, Kazakhstan.
  5. Louisa Gilbert: School of Social Work, Columbia University, New York, NY, USA.

Abstract

OBJECTIVES: To determine factors associated with SRH among migrant workers in Almaty, Kazakhstan.
METHODS: In 2007, 805 vendors were screened. Approximately half were eligible (n =450), defined as at least 18 years old, a worker/owner in a randomly selected stall, having traveled 2 + hours outside of Almaty within the past year, and being an internal/external migrant. 28 non-migrants were excluded, leaving 422 participants. Logistic regression was used to examine the relationship between SRH, mental health, and psychosocial problems.
RESULTS: Approximately 46% reported having poor or fair SRH. Clinical depression (OR 0.859, 95% CI 0.342-2.154), alcohol problems (OR 1.169, 95% CI 0.527-2.593), and legal status (OR 0.995, 95% CI 0.806-1.229) were not significantly associated with SRH, nor was exposure to interpersonal violence among women (OR 1.554, 95% CI 0.703-3.435). After adjusting for key variables, only ethnicity and social support were found to be significantly protective against poor or fair SRH.
CONCLUSIONS: SRH was not a comprehensive health measure for these Central Asian migrant workers. More specific questions are needed to identify mental illness and interpersonal violence.

Keywords

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Grants

  1. P30 MH043520/NIMH NIH HHS

MeSH Term

Adult
Alcoholism
Cross-Sectional Studies
Depression
Ethnicity
Female
Health Status
Humans
Interpersonal Relations
Jurisprudence
Kazakhstan
Male
Self Report
Social Support
Transients and Migrants
Violence

Word Cloud

Created with Highcharts 10.0.0SRHmigranthealth95%CI0associatedamongworkersAlmatyKazakhstanApproximatelymentalproblemspoorfairOR 0OR 1significantlyinterpersonalviolenceCentralOBJECTIVES:determinefactorsMETHODS:2007805vendorsscreenedhalfeligiblen =450definedleast18yearsoldworker/ownerrandomlyselectedstalltraveled2 + hoursoutsidewithinpastyearinternal/external28non-migrantsexcludedleaving422participantsLogisticregressionusedexaminerelationshippsychosocialRESULTS:46%reportedClinicaldepression859342-2154alcohol169527-2593legalstatus995806-1229exposurewomen554703-3435adjustingkeyvariablesethnicitysocialsupportfoundprotectiveCONCLUSIONS:comprehensivemeasureAsianspecificquestionsneededidentifyillnessFactorsself-ratedworkers:resultspopulation-basedcross-sectionalstudyAsiaMigrantSelf-rated

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