Evidence map›Paper›PMID 34824989›Full record

ArticleAnnals of global health2021

Internal Migration as a Social Determinant of Occupational Health and WASH Access in Myanmar.

Heidi West, Marlar Than, Thinzar Win, Khin Thein Oo, Kyi Khaing, Thin Thin Aye, San Myint Yi, Su Yi Myo, Su Yi Toe, Maja Milkowska-Shibata and 3 more

Open access · goldAbstract read
In one paragraph

Article in Annals of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.5field-weighted citation impact, top 12% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

13 authors at 8 institutions in 3 countries.

Heidi WestUniversity of California Los Angeles, US.ORCID 0000-0002-9806-834X
Marlar ThanMeiktila University of Economics, MM.
Thinzar WinMandalay University, MM.ORCID 0000-0003-3517-234X
Khin Thein OoMeiktila University, MM.
Kyi KhaingMandalar Degree College, MM.
Thin Thin AyeYadanabon University, MM.
San Myint YiYadanabon University, MM.
Su Yi MyoMandalay City Development Committee, MM.
Su Yi ToeUniversity of Medicine, Mandalay, MM.ORCID 0000-0002-1433-1762
Maja Milkowska-ShibataGlobal Environmental Health LAB, US.ORCID 0000-0002-3532-1045
Kristin RingstadGlobal Environmental Health LAB, US.
Can MengYale University, US.ORCID 0000-0002-8257-6243
Tomoyuki ShibataNorthern Illinois University, US.ORCID 0000-0001-6056-9547
Mandalay University · MMCentre for Global Health Research · CAMyanmar Aerospace Engineering University · MMYadanabon University · MMNorthern Illinois University · USUniversity of California, Los Angeles · USUniversity of Medicine Mandalay · MMYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
CALIFORNIA CENTER FOR POPULATION TRAINING PROGRAMT32HD007545 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ, Megan M Sweeney · 2001 to 2026
$4.1M
NCATS NIH HHS UL1 TR001863NICHD NIH HHS P2C HD041022NICHD NIH HHS T32 HD007545
6 · The paper itself

Abstract

Background: Migration is at an all-time high worldwide, and despite increased focus on international migrants, there is little evidence about internal migrants' exposures to socioeconomic, occupational, and environmental risk factors in low-and middle-income countries. Objective: The aim of this study was to examine differences in occupational health and access to water, sanitation, and hygiene (WASH) between internal migrants and non-migrants. Methods: A face-to-face survey (n = 937) was conducted in Mandalay, Myanmar. Bivariate and multivariate analysis included traditional social determinants such as education, income, occupation, gender, age, and location in addition to internal migration status. Findings: The majority of internal migrants (23% of the total sample) were labor migrants (67.3%), and while common social determinants (e.g., household income, education, and gender) were not statistically different between migrants and non-migrants, these groups reported different occupational profiles (p < 0.001). Migrants had higher odds of being street vendors (AOR = 2.26; 95% CI 1.33-3.85; p = 0.003) and were less likely to work labor jobs such as in factories or construction (AOR = 0.44; 95% CI 0.19-1.00; p = 0.051) when controlling for age, gender, education, and location. Internal migrants had significantly greater probabilities of experiencing some injuries and illness symptoms, such as cuts, vomiting, coughing, heatstroke, and diarrhea at work (p < 0.001). Compared to non-migrants, migrants' households were approximately three times more likely (AOR = 3.45; 95% CI 2.17-5.62; p < 0.001) to have an unimproved source of drinking water and twice as likely (AOR = 1.98; 95% CI 1.10-3.58; p < 0.05) to have unimproved sanitation facilities in their homes. Conclusions: The results underscore the importance of considering internal migration as an aspect of social determinants analyses, and the need for targeting appropriate WASH interventions to address inequities.

Indexed as

Occupational HealthSanitationHumansHygieneMyanmarSocial Determinants of HealthSocioeconomic FactorsWaterWater

Identifiers

PMID34824989
PMCPMC8588907
OpenAlexW3212068172

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.