Evidence map›Paper›PMID 32609735›Full record

ArticlePloS one2020

Health care access of informal waste recyclers in Johannesburg, South Africa.

Jesne Kistan, Vusi Ntlebi, Felix Made, Tahira Kootbodien, Kerry Wilson, Nonhlanhla Tlotleng, Spo Kgalamono, Angela Mathee, Nisha Naicker

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Working with Waste: Hazards and Mitigation Strategies Used by Waste Pickers in the Inner City of Durban.International journal of environmental research and public health · 2022
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Jesne KistanDepartment of Community Health Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.ORCID 0000-0002-9446-0918
Vusi NtlebiNational Health Laboratory Services, National Institute for Occupational Health, Johannesburg, South Africa.
Felix MadeNational Health Laboratory Services, National Institute for Occupational Health, Johannesburg, South Africa.
Tahira KootbodienNational Health Laboratory Services, National Institute for Occupational Health, Johannesburg, South Africa.
Kerry WilsonDepartment of Community Health Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
Nonhlanhla TlotlengNational Health Laboratory Services, National Institute for Occupational Health, Johannesburg, South Africa.
Spo KgalamonoDepartment of Community Health Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
Angela MatheeDepartment of Community Health Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
Nisha NaickerDepartment of Community Health Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.ORCID 0000-0001-7223-7881
National Health Laboratory Service · ZASouth African Medical Research Council · ZAUniversity of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInformal waste recyclers contribute significantly to waste removal in South Africa. Waste recyclers face health hazards which are associated with handling and disposal of waste, a lack of personal protective wear and inaccessibility to occupational health care services. Consequently, accessing health care within the public health care sector is important for health outcomes in this population. This study assesses health care access of informal waste recyclers in South Africa to establish baseline information for health planning for potential inclusion of informal waste recyclers into occupational health services.

methodsA cross-sectional study of informal waste recyclers in two landfill sites in Johannesburg was conducted from March 2018. A standardized structured questionnaire was used to collect information on sociodemographic details, health care utilization, barriers to access and acceptability and affordability of health care. Factors associated with health care utilization were assessed using logistic regression.

resultsA total of 363 informal waste recyclers were included in the study. Less than half of informal waste recyclers (41.0%) used health care facilities in the last 12 months. Those who accessed services chose to use facilities close to where they live (87.0%). Barriers to accessing health care services included long waiting periods (36.6%), being unable to take time off work (26.3%) and transport problems (13%). In the univariate analysis, factors such as gender and being treated well at the clinic and location of the health care facility were associated with health care utilization (OR: 1.97, p = 0.05, OR: 1.94, p = 0.02, OR: 0.65, p = 0.04 respectively).

conclusionInformal waste recyclers face numerous challenges to accessing health care. Specific to their informal trade, barriers to health care utilization are related to financial repercussions due to the informal nature of their work.

Indexed as

Health Services AccessibilityAdultCross-Sectional StudiesFemaleHumansMaleOccupational DiseasesRecyclingSocioeconomic FactorsSouth Africa

Identifiers

PMID32609735
PMCPMC7329099
OpenAlexW3038433435

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.