Evidence map›Paper›PMID 42354241›Full record

ArticleInternational journal of environmental research and public health2026

Assessing the Influence of Socio-Demographic and Personal Traits (Knowledge, Attitude) on Practices Among Silica-Dust Exposed Mineworkers in the SADC Region.

Norman Nkuzi Khoza, Dingani Moyo, Phoka Caiphus Rathebe, Masilu Daniel Masekameni, Thokozani Patrick Mbonane

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Article in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Norman Nkuzi KhozaDepartment of Environmental Health, School of Health Sciences, University of Johannesburg, Johannesburg 2028, South Africa.
Dingani MoyoBaines Occupational Health Services, Harare 0002, Zimbabwe.
Phoka Caiphus RathebeDepartment of Environmental Health, School of Health Sciences, University of Johannesburg, Johannesburg 2028, South Africa.ORCID 0000-0001-9095-354X
Masilu Daniel MasekameniDepartment of Environmental Health, School of Health Sciences, University of Johannesburg, Johannesburg 2028, South Africa.
Thokozani Patrick MbonaneDepartment of Environmental Health, School of Health Sciences, University of Johannesburg, Johannesburg 2028, South Africa.ORCID 0000-0001-5802-4265

Funding

World Bank grant numbers P155658 and P173228.
6 · The paper itself

Abstract

backgroundExposure to respirable crystalline silica dust remains a significant occupational health challenge in the Southern African Development Community region, leading to high incidences of silicosis and pulmonary tuberculosis, particularly among mining workers. This study evaluated the knowledge, attitudes, and practices (KAP) of mineworkers regarding silica dust risks across Lesotho, Malawi, Mozambique, and Zambia.

methodsA cross-sectional analytical study was conducted involving 1440 mineworkers exposed to silica dust in mines across four SADC countries. Data were collected using structured questionnaires covering socio-demographic traits and knowledge, attitude, and practices. Data analysis was conducted using Stata version 18.

resultsWhile 91% of participants exhibited adequate knowledge and 88% demonstrated acceptable practices, 51% maintained negative safety attitudes. Knowledge scores were positively correlated with company training (

conclusionsThe findings suggest that top-down mandatory training may trigger psychological reactance, undermining behavioural safety. To mitigate silica-related diseases, industry stakeholders should transition toward participatory, role-specific safety interventions that prioritize worker autonomy and cognitive engagement over administrative compliance.

Indexed as

DustHealth Knowledge, Attitudes, PracticeMinersMiningOccupational ExposureSilicon DioxideAdultCross-Sectional StudiesFemaleHumansLesothoMalawiMaleMiddle AgedMozambiqueSilicosisDustSilicon Dioxideattitudeknowledgemineoccupational health and safetypracticesSADCsilica dust exposuresilicosissocio-demographics

Identifiers

PMID42354241
PMCPMC13299353

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