Health Inequality between Migrant and Non-Migrant Workers in an Industrial Zone of Vietnam

Int J Environ Res Public Health. 2019 Apr 28;16(9):1502. doi: 10.3390/ijerph16091502.

Abstract

Vietnam has experienced massive internal migration waves from rural to industrialized zones. However, little efforts have been made to understand differences in health conditions and health-related quality of life (HRQOL) between local and migrant industrial workers. This study aimed to examine the inequality in health status and HRQOL between these workers. We conducted a cross-sectional study of 289 Vietnamese workers at three industrial areas in Hanoi and Bac Ninh. Self-reported health status and HRQOL were measured using the EuroQOL-5 dimensions-5 levels (EQ-5D-5L) instrument. Sociodemographic, working, and environmental factors were also investigated. Overall, the mean EQ-5D index was 0.74 (SD = 0.21) and the average number of health problems in the last 12 months in our sample was 1.91 (SD = 1.63) problems. Migrant people had a lower EQ-5D index (β = -0.08, p < 0.01) and more health problems (β = 0.20, p < 0.05) compared to local workers. Those being male, working in the same posture more than 60 min, and exposed to more hazards at work were correlated with a lower EQ-5D index and higher number of health problems. The results highlighted inequalities in health status and HRQOL between migrant and local workers. Reinforcing regular health check-ups, ensuring sufficient protective equipment and working conditions may help improve the health outcomes of the workers.

Keywords: health status; health-related quality of life; industry; inequality; migration; worker.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Health Status Disparities*
  • Humans
  • Male
  • Quality of Life
  • Rural Population
  • Self Report
  • Transients and Migrants*
  • Vietnam