Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan

Background: Natural hazards, poor socio-economic conditions, low literacy levels, and long-standing conflicts affect traditional gold miners in Sudan and contribute to multiple health vulnerabilities. An extensive survey reveals differential health risk among internal migrant miners leading to short...

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Autores principales:	Mahmoud Ali Fadlallah, Indrajit Pal, Joyee S. Chatterjee
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/81fb26f9e20a486e88db0e6fa785f185
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spelling	oai:doaj.org-article:81fb26f9e20a486e88db0e6fa785f1852021-12-02T09:51:07ZHealth Disparities: A Perspective on Internal Migration and Health Behavior in Sudan2214-999610.5334/aogh.2589https://doaj.org/article/81fb26f9e20a486e88db0e6fa785f1852020-05-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2589https://doaj.org/toc/2214-9996Background: Natural hazards, poor socio-economic conditions, low literacy levels, and long-standing conflicts affect traditional gold miners in Sudan and contribute to multiple health vulnerabilities. An extensive survey reveals differential health risk among internal migrant miners leading to short-, medium-, and long-term health consequences and disparities. The need to identify determinants of health behavior and limited prior research on internal migrants involved in traditional gold mining in Sudan motivated this research. Objective: To investigate potential health disparities between internal migrant workers participating in traditional gold mining and their local counterparts. Methods: Questionnaires on socio-demographic and health status in the Abideya area in the River Nile state of Sudan were administered to 211 miners. Composite score variables were devised based on existing literature and data for assessment of underlying risk determinants for the miners’ vulnerability (migrants and non-migrants). Six new composite variables were constructed and subjected to analysis by immigration status. Findings: There are disparities in drivers of health behavior related to the immigration status of traditional gold miners. Access to water, sanitation, and hygiene services are common determinants for the health behavior of both internal migrant miners (p < 0.001) and their local counterparts (p < 0.001). However, knowledge (p < 0.05) and perception (p < 0.05) are additional critical determinants for the health behavior of local miners, while education (secondary, p < 0.01) is an additional modifier for the immigrants’ health behavior. Conclusions: The outcomes of this field-based research suggest increased awareness and risk perceptions among migrants could improve health-related behaviors. The study advocates for policymaking and implementation of health programs at all levels to reduce health disparities between migrants and non-migrants, improving the health status of the entire community.Mahmoud Ali FadlallahIndrajit PalJoyee S. ChatterjeeUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Mahmoud Ali Fadlallah Indrajit Pal Joyee S. Chatterjee Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan
description	Background: Natural hazards, poor socio-economic conditions, low literacy levels, and long-standing conflicts affect traditional gold miners in Sudan and contribute to multiple health vulnerabilities. An extensive survey reveals differential health risk among internal migrant miners leading to short-, medium-, and long-term health consequences and disparities. The need to identify determinants of health behavior and limited prior research on internal migrants involved in traditional gold mining in Sudan motivated this research. Objective: To investigate potential health disparities between internal migrant workers participating in traditional gold mining and their local counterparts. Methods: Questionnaires on socio-demographic and health status in the Abideya area in the River Nile state of Sudan were administered to 211 miners. Composite score variables were devised based on existing literature and data for assessment of underlying risk determinants for the miners’ vulnerability (migrants and non-migrants). Six new composite variables were constructed and subjected to analysis by immigration status. Findings: There are disparities in drivers of health behavior related to the immigration status of traditional gold miners. Access to water, sanitation, and hygiene services are common determinants for the health behavior of both internal migrant miners (p < 0.001) and their local counterparts (p < 0.001). However, knowledge (p < 0.05) and perception (p < 0.05) are additional critical determinants for the health behavior of local miners, while education (secondary, p < 0.01) is an additional modifier for the immigrants’ health behavior. Conclusions: The outcomes of this field-based research suggest increased awareness and risk perceptions among migrants could improve health-related behaviors. The study advocates for policymaking and implementation of health programs at all levels to reduce health disparities between migrants and non-migrants, improving the health status of the entire community.
format	article
author	Mahmoud Ali Fadlallah Indrajit Pal Joyee S. Chatterjee
author_facet	Mahmoud Ali Fadlallah Indrajit Pal Joyee S. Chatterjee
author_sort	Mahmoud Ali Fadlallah
title	Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan
title_short	Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan
title_full	Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan
title_fullStr	Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan
title_full_unstemmed	Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan
title_sort	health disparities: a perspective on internal migration and health behavior in sudan
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/81fb26f9e20a486e88db0e6fa785f185
work_keys_str_mv	AT mahmoudalifadlallah healthdisparitiesaperspectiveoninternalmigrationandhealthbehaviorinsudan AT indrajitpal healthdisparitiesaperspectiveoninternalmigrationandhealthbehaviorinsudan AT joyeeschatterjee healthdisparitiesaperspectiveoninternalmigrationandhealthbehaviorinsudan
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Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan

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