Nonfatal Occupational Injuries among Workers in Microscale and Small-Scale Woodworking Enterprise in Addis Ababa, Ethiopia

Background. Microscale and small-scale industries have been widely expanded in low-income countries, including Ethiopia, as a job opportunity for young workers, which makes workers vulnerable to injury. Woodworking is one of the high-risk jobs in this sector due to the use of hazardous tools and machineries. Therefore, the aim of this study was to estimate the prevalence of injury and associated contributing factors of this sector. Methods. A cross-sectional study design was conducted among 634 workers selected from 194 microscale and small-scale woodworking enterprises in Addis Ababa. Data were collected using a structured interview questionnaire and observation checklist from February to March 2016. Occupational injuries were documented according to the ILO operational definition. Descriptive statistics and multivariable analyses were used to characterize the data and to identify the factors associated with injury at a p value <0.05, respectively. Result. A total of 625 (98.6%) workers were interviewed. The prevalence of occupational injury was 92 (14.7%) in the past 12 months. Workers with khat chewing behavior (AOR: 2.25, 95% CI (1.04, 4.85)), job dissatisfaction (AOR: 2.89, 95% CI (1.75, 4.76)), work-related stress (AOR: 4.79, 95% CI (1.69–13.58)), job categories (AOR: 3.52, 95% CI (1.08, 11.41)) and workplace characteristics such as unguarded machines (AOR: 3.32 (1.21, 9.11)), and inadequate work space (AOR: 3.85 (1.14, 13.04)) were significantly associated with occupational injury. Conclusion. The prevalence of nonfatal occupational injuries among workers in this study was substantially high. Workers’ behavior, psychosocial issues, and work-related characteristics played a causal role in the occurrence of occupational injury. Therefore, workers' safety protection and behavioral intervention should be initiated.

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Disease burden and associated risk factors for metabolic syndrome among adults in Ethiopia

BMC Cardiovascular Disorders ◽

10.1186/s12872-019-1201-5 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 4

Author(s):

Samrawit Solomon ◽

Wudeneh Mulugeta

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Low Income ◽

Disease Burden ◽

Addis Ababa ◽

Treatment Strategies ◽

Density Lipoprotein ◽

World Health ◽

Low Income Countries ◽

Cross Sectional

Abstract Background Metabolic Syndrome (MetS) and Non-communicable diseases (NCDs) are alarmingly increasing in low-income countries. Yet, very limited is known about the prevalence and risk factors associated with MetS in Ethiopia. Methods A cross-sectional study was conducted among adult outpatients (N = 325) at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia. The study was conducted in accordance with STEPwise approach of the World Health Organization. MetS was defined using modified National Cholesterol Education Program’s Adult Treatment Panel III criteria. Univariate and multivariate analyses were performed. Results The overall prevalence of MetS was 20.3%. Among the 325 participants, 76.9% had at least one MetS components. Reduced high-density lipoprotein cholesterol was the most common MetS component at 48.6%, followed by elevated blood pressure at 36.3%, and elevated fasting glucose at 32.6%. Older age (odds ratio [OR] = 4.15; 95% confidence interval [CI] = 1.43–12.04), Amhara ethnicity (OR = 2.36; 95%CI = 1.14–4.88), overweight status (OR = 2.21; 95%CI = 1.03–4.71), higher income (OR = 3.31; 95%CI = 1.11–9.84) and higher education levels (OR = 2.19; 95%CI = 1.05–4.59) were risk factors for MetS. Conclusion The disease burden of MetS among Ethiopians is high, and is associated with age, weight, income, education and ethnicity. Comprehensive screening and assessment of MetS is needed along with effective preventive and treatment strategies in low-income countries, such as Ethiopia.

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Malnutrition and its determinants among older adults people in Addis Ababa, Ethiopia

BMC Geriatrics ◽

10.1186/s12877-020-01917-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Tadele Abate ◽

Berhanu Mengistu ◽

Asmamaw Atnafu ◽

Terefe Derso

Keyword(s):

Older Adults ◽

Low Income ◽

Behavioral Interventions ◽

Nutritional Assessment ◽

Addis Ababa ◽

Therapeutic Interventions ◽

Low Income Countries ◽

Multivariable Logistic Regression Analysis ◽

Limited Information ◽

Cross Sectional

Abstract Background In Ethiopia, malnutrition among older adults is under detected and, neglected area because the entire problem related with aging considered as fate of aging. Also, older adults are often omitted from public health research. Literatures are scarce in Ethiopia; there is limited information in the current study area among older adults using Min Nutritional Assessment (MNA). Therefore, this paper investigated the prevalence of malnutrition and its predictors among older adults people aged 65 years or above in Addis Ababa, Ethiopia. Methods A community-based cross-sectional study was employed from January 1 to march 30, 2020 in Addis Ababa. Nutritional status of the older adults was measured by using Min nutritional assessment (MNA). Data from 662 older adults were collected through face to face interviews using a structured questionnaire. Bivariable and multivariable logistic regression analysis was done to identify factors associated with malnutrition. Result The prevalence of malnutrition among older adults was found to be 26.6%[95% Confidence interval (CI):22.8, 30.1]. Depression [Adjusted Odds Ratio (AOR) = 7.57 95%CI: 5.01, 11.45], being poor [AOR = 1.95 95% CI: 1.166, 3.25], occupation; daily laborer and guard [AOR = 2.78 95% CI: 1.12, 7.17] and being old old [AOR = 2.62 95% CI: 1.62, 4.25] were significantly associated with the higher odds of malnutrition. Conclusion This study illustrated that considerably high proportion of older adults were malnourished in Addis Ababa. Socio-economic characteristics and depression were significantly associated with malnutrition. Therefore, nutritional and social support activities are essential for older adults, particularly of those who are socio-economically disadvantaged and advanced age. In addition, regular nutritional screening and management as well as behavioral interventions should be strengthened as a pillar component of therapeutic interventions. Specific nutritional requirements, at later stages of life is changing, and with the population aged over 65 years increasing in low-income countries like Ethiopia, the research in this field is likely to increase further.

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Determinants of occupational injury for US home health aides reporting one or more work-related injuries

Injury Prevention ◽

10.1136/injuryprev-2017-042449 ◽

2017 ◽

Vol 24 (5) ◽

pp. 351-357 ◽

Cited By ~ 2

Author(s):

Hanadi Hamadi ◽

Janice C Probst ◽

Mahmud M Khan ◽

Jessica Bellinger ◽

Candace Porter

Keyword(s):

Work Environment ◽

Injury Risk ◽

Occupational Injury ◽

Occupational Injuries ◽

Home Health ◽

Cross Sectional ◽

Work Related ◽

Home Health Aides ◽

Work Related Injury ◽

Environment Scale

ObjectivesHome health aides (HHAs) work in a high-risk industry and experience high rates of work-related injury that have been significantly associated with reduction in workers and organisational productivity, quality and performance. The main objective of the study was to examine how worker environment and ergonomic factors affect HHA risk for reporting occupational injuries.MethodWe used cross-sectional analysis of data from the 2007 National Home Health and Hospice Aide Survey (NHHAS). The study sample consisted of a nationally represented sample of home health aides (n=3.377) with a 76.6% response rate. We used two scales 1 : a Work Environment Scale and 2 an Ergonomic Scale. Univariate and bivariate analyses were conducted to describe HHA work-related injury across individual, job and organisational factors. To measure scale reliability, Cronbach’s alphas were calculated. Multivariable logistic regression was used to determine predictors of reported occupational injury.ResultsIn terms of Work Environment Scale, the injury risk was decreased in HHAs who did not consistently care for the same patients (OR=0.96, 95% CI: 0.53 to 1.73). In terms of Ergonomic Scale, the injury risk was decreased only in HHAs who reported not needing any other devices for job safety (OR=0.30, 95% (CI): 0.15 to 0.61). No other Work Environment or Ergonomic Scale factors were associated with HHAs’ risk of injury.ConclusionThis study has great implications on a subcategory of the workforce that has a limited amount of published work and studies, as of today, as well as an anticipated large demand for them.

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Chronotype, Sleep Characteristics, and Musculoskeletal Disorders Among Hospital Nurses

Workplace Health & Safety ◽

10.1177/2165079917704671 ◽

2017 ◽

Vol 66 (1) ◽

pp. 8-15 ◽

Cited By ~ 9

Author(s):

Yuan Zhang ◽

Jeanne F. Duffy ◽

Elizabeth Ronan de Castillero ◽

Kefang Wang

Keyword(s):

Musculoskeletal Disorders ◽

Occupational Injury ◽

Occupational Injuries ◽

Sleep Onset ◽

Poor Sleep ◽

Sleep Onset Latency ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Work Related ◽

Increased Risk

Work-related musculoskeletal disorders (WMSDs) persist as the leading occupational injury, accounting for nearly half of nurses’ total occupational injuries. Musculoskeletal pain is a known cause of sleep disruption, and individuals with WMSDs that interfere with sleep often report more pain. Evening chronotype has been associated with poor sleep among nurses. However, the associations among chronotype, sleep, and WMSDs are still unclear, and were explored in the present study. A cross-sectional survey was administered to 397 nurses, with 47.4% reporting WMSDs. Robust Poisson regression modeling suggested that evening type (PR = 1.32, p < .05), prolonged sleep onset latency (PR = 1.37, p < .05), and using sleep-promoting substances (PR = 1.35, p < .01) were associated with increased risk of WMSDs among nurses, after adjusting for shift work, regular exercise, body mass index, and other covariates. This study suggests that well-designed evidence-based nonpharmacological interventions to improve sleep may reduce the risk of WMSDs among nurses.

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Prevalence and injury patterns among electronic waste workers in the informal sector in Nigeria

Injury Prevention ◽

10.1136/injuryprev-2016-042265 ◽

2017 ◽

Vol 24 (3) ◽

pp. 185-192 ◽

Cited By ~ 8

Author(s):

Chimere May Ohajinwa ◽

Peter M van Bodegom ◽

Martina G Vijver ◽

Adesola O Olumide ◽

Oladele Osibanjo ◽

...

Keyword(s):

Informal Sector ◽

Occupational Injury ◽

Occupational Injuries ◽

Electronic Waste ◽

Geographical Location ◽

Cross Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Work Related ◽

Multistage Sampling

BackgroundDespite the large volume of e-waste recycled informally, the prevalence of work-related injuries among e-waste workers is unknown. Therefore, this study assessed the prevalence, patterns and factors associated with occupational injuries among e-waste workers in the informal sector in Nigeria.MethodsThis cross-sectional study adopted a multistage sampling method to select 279 respondents from three cities (Ibadan, Lagos and Aba) in Nigeria. A questionnaire was used to obtain information on sociodemographics, work practices and injury occurrences from the respondents in 2015. The data were analysed using descriptive statistics and standard logistic regression.ResultsWe found high injury prevalence of 38% and 68% in 1–2 weeks and 6 months preceding the study, respectively. The most common injuries were cuts (59%). Injuries were mainly caused by sharp objects (77%). The majority (82%) of the injuries occurred on the hands/fingers. Despite the high occurrence of injury, only 18% of the workers use personal protective equipment (PPE) and 51% of those that use PPE got at least an injury in 1–2 weeks and 88% got at least an injury in 6 months preceding the study. The factors associated with injury in 1–2 weeks were job designation and the geographical location, while the factors associated with injury in 6 months were job designation, geographical location and age.ConclusionsThere is a high prevalence of injury and low use of PPE among the e-waste workers in Nigeria. Occupational injury can be reduced through health education and safety promotion programmes for e-waste workers.

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Effectiveness of Health and Safety Training in Reducing Occupational Injuries Among Harvesting Forestry Contractors in KwaZulu-Natal

Workplace Health & Safety ◽

10.1177/2165079918774367 ◽

2018 ◽

Vol 66 (10) ◽

pp. 499-507 ◽

Cited By ~ 2

Author(s):

Hloni Nkomo ◽

Ivan Niranjan ◽

Poovendhree Reddy

Keyword(s):

Occupational Injury ◽

Occupational Injuries ◽

Health And Safety ◽

Cross Sectional Study ◽

Safety Training ◽

Cross Sectional ◽

Work Related ◽

Adequate Knowledge ◽

Increased Risk ◽

Kwazulu Natal

Forestry work is generally characterized by a combination of personal and environmental risks in health and safety. Employers need to ensure intensive and continuous safety training to mitigate these risks; however, the efficacy of this training is seldom evaluated. The aim of this study was to assess the effectiveness of health and safety training in reducing injuries and improving knowledge, attitudes, and perceptions toward safety among forestry workers in KwaZulu-Natal (KZN), South Africa. A descriptive cross-sectional study was conducted among 300 harvesting contract workers employed at a forestry company in KZN. A questionnaire to assess the efficiency of health and safety training was administered. In addition, a retrospective review of the injury register and medical records of employees who sustained work-related injuries from 2009 to 2013 was completed. The company injury data for harvesting contractors reported 68 lost-time injuries during postcommencement of training. Slip, trip, and fall injuries were the most reported cause of injuries, particularly among manual harvesters. Respondents who were male, younger in age, and with less experience had an increased risk of occupational injury. Most participants displayed adequate knowledge of safety and were able to translate training into practice. The health and safety training initiative was successful in reducing injuries and increasing workers’ awareness of, and responsibility for, health and safety issues.

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Assessment of knowledge and practice of vaccination of dogs against rabies by dog owners in Makurdi, Benue State, Nigeria

10.25259/anmrp_1_2020 ◽

2020 ◽

Vol 1 ◽

pp. 5

Author(s):

Audu Onyemocho ◽

Agwa Moses ◽

Aboh Kisani ◽

Omole Namben Victoria ◽

Anejo-Okopi Joseph

Keyword(s):

Low Income ◽

Life Time ◽

Knowledge Score ◽

Educational Status ◽

Low Income Countries ◽

Bivariate Analysis ◽

Cross Sectional ◽

Knowledge And Practice ◽

Dog Owners ◽

The Relationship

Objective: Rabies, one of the oldest and fatal infectious diseases known to human race, is transmitted by infected dogs. The global target of zero dog-mediated rabies human deaths has been set for 2030; however, the realization of this goal poses challenges in most low-income countries where rabies is endemic due to weak surveillance. Dogs have been increasingly deployed for domestic uses over the years, especially for security purposes. This study assessed the assessment of knowledge and practice of vaccination of dogs against rabies by dog owners. Materials and Methods: A cross-sectional community-based study was employed to study 400 dog owners in Makurdi metropolis through multistage sampling techniques. Sighting of valid dog vaccination card was used as criteria for current vaccination. Bivariate analysis was carried out to establish the relationship between the respondent knowledge of rabies and dog vaccination with significant value set at P < 0.05. Results: The mean age of the respondents was 31 (Â ± 0.8) years, majority of them had tertiary and secondary education (40.0% and 39.0%, respectively), 26.0% were traders, and 50.0% were married. Overall, 73.0% of the respondents had good knowledge score, 61.0% had seen at least a rabid dog in their life time, and 74.0% have a history of dog vaccination, but evidence of up to date vaccination of dogs by owners was seen in only 18.0% of all the vaccination cards sighted. The relationship between the educational status of the respondents, their knowledge score, and their dog vaccination was statistically significant (P < 0.05). Conclusion: Knowledge of rabies among dog owners in Makurdi was good, but the practice of dog vaccination was poor. Educational status was a good predictor of practice. Awareness campaign on dog vaccination should be strengthened and adequate measures should be put in place at the veterinary hospitals in Makurdi for vaccination of dogs.

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A Cross-sectional Study of the Clinical Profile of Children With Cerebral Palsy in Benin, a West African Low-Income Country

Journal of Child Neurology ◽

10.1177/0883073819864516 ◽

2019 ◽

Vol 34 (13) ◽

pp. 842-850

Author(s):

Emmanuel Segnon Sogbossi ◽

Damienne Houekpetodji ◽

Toussaint G. Kpadonou ◽

Yannick Bleyenheuft

Keyword(s):

Risk Factors ◽

Cerebral Palsy ◽

Low Income ◽

Classification System ◽

West African ◽

Low Income Countries ◽

Cross Sectional ◽

Common Cause ◽

Low Income Country ◽

Children With Cerebral Palsy

Cerebral palsy is a common cause of pediatric motor disability. Although there are increasing amounts of data on the clinical profile of children with cerebral palsy in high-income countries, corresponding information about low-income countries and developing countries is lacking. Therefore, we aimed to describe the clinical spectrum of cerebral palsy in children in Benin, a representative West African low-income country. Our cross-sectional observational study included 114 children with cerebral palsy recruited from community-based rehabilitation centers and teaching hospitals (median age: 7 years, range 2-17; sex: 66% male). Data were collected through review of medical records and interviews with children’s mothers. Assessment included risk factors, clinical subtypes according to the Surveillance of CP in Europe criteria, severity of motor outcome scored by the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System, comorbidities, and school attendance. We recorded a high prevalence of intrapartum adverse events. Seventeen percent of children had postneonatal cerebral palsy, with cerebral malaria being the most common cause. Most children were severely affected (67.5% as bilateral spastic; 54.4% as GMFCS IV or V), but severity declined substantially with age. Only 23% of the children with cerebral palsy had attended school. Poor motor outcomes and comorbidities were associated with school nonattendance. These results suggest that intrapartum risk factors and postnatal cerebral malaria in infants are opportune targets for prevention of cerebral palsy in Sub-Saharan low-income countries.

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Overweight/Obesity and Associated Factors Among Second Cycle Primary School Children in Kirkos Sub-City, Addis Ababa, Ethiopia

Global Advances in Health and Medicine ◽

10.1177/21649561211017883 ◽

2021 ◽

Vol 10 ◽

pp. 216495612110178

Author(s):

Kidus Fitsum ◽

Gudina Egata ◽

Melake Demena ◽

Berhe Gebremichael

Keyword(s):

Primary School ◽

School Children ◽

Low Income ◽

Private School ◽

Associated Factors ◽

Addis Ababa ◽

Statistical Significance ◽

Primary School Children ◽

Low Income Countries ◽

Public Health Issue

Background Although overweight/obesity is becoming a public health issue in low income countries, there is a paucity of evidence concerning overweight/obesity in Ethiopia. The aim of the study was to assess the magnitude of overweight/obesity and associated factors among second cycle primary school children in Kirkos Sub-City, Addis Ababa, Ethiopia. Methods A school based cross-sectional study was conducted among 482 children from May to June, 2019. Data were collected using a questionnaire and checklist. Data were entered using EpiData version 3.1 and exported into SPSS version 22.0. Bivariable and multivariable logistic regression analyses were done to identify factors associated with overweight/obesity. Level of statistical significance was declared at p ≤ 0.05. Results The overall magnitude of overweight/obesity was 21.2%. The magnitude of overweight was 13.7% while obesity was 7.5%. Vehicle availability, being from private school, not having friend(s), preferring sweet foods, eating breakfast irregularly, watching movies/Television while eating and physical inactivity were the factors significantly associated with overweight/obesity among second cycle primary school children. Conclusions The magnitude of overweight/obesity was high in the study area. Therefore, health and education sectors should promote healthy lifestyle to curb child overweight/obesity.

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Stigmatising attitudes towards the mentally ill: A survey in a Nigerian university teaching hospital

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v16i2.238 ◽

2010 ◽

Vol 16 (2) ◽

pp. 5 ◽

Cited By ~ 7

Author(s):

Dominic Ignatius Ukpong ◽

Festus Abasiubong

Keyword(s):

Mental Illness ◽

Teaching Hospital ◽

Low Income ◽

Mentally Ill ◽

Educational Programme ◽

University Teaching ◽

Low Income Countries ◽

Cross Sectional ◽

Convenience Sample ◽

Nigerian University

Background. The burden of mental illness is particularly severe for people living in low-income countries. Negative attitudes towards the mentally ill, stigma experiences and discrimination constitute part of this disease burden.Objective. The aim of this study was to investigate knowledge of possible causes of mental illness and attitudes towards the mentally ill in a Nigerian university teaching hospital population.Method. A cross-sectional descriptive study of a convenience sample of 208 participants from the University of Uyo Teaching Hospital, Uyo, Nigeria, using the Community Attitudes towards the Mentally Ill (CAMI) scale. Information was also obtained on beliefs about possible causes of mental illness. Results. The respondents held strongly negative views about the mentally ill, mostly being authoritarian and restrictive in their attitudes and placing emphasis on custodial care. Even though the respondents appeared to be knowledgeable about the possible role of psychosocial and genetic factors in the causation of mental illness, 52.0% of them believed that witches could be responsible, 44.2% thought mental illness could be due to possession by demons, and close to one-third (30%) felt that it could be a consequence of divine punishment.Conclusions. Stigma and discrimination against the mentally ill are widespread even in a population that is expected to be enlightened. The widespread belief in supernatural causation is likely to add to the difficulties of designing an effective anti-stigma psycho-educational programme. There is a need in Nigeria to develop strategies to change stigma attached to mental illness at both institutional and community levels.

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